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TONI A HUGHART DNP
NPI 1790314631
Nurse Practitioner - Family in Rockford, IL

Active since April 03, 2020PECOS EnrolledAccepts Medicare Assignment
6000 E STATE ST, ROCKFORD, IL 61108(815) 397-3691(815) 397-8760 Get Directions Write a Review

NPPES record last updated: April 3, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Toni A Hughart Dnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TONI A HUGHART DNP (NPI 1790314631) is an individual family provider in Rockford, Illinois, licensed in Illinois (209.021119) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1790314631
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTONI A HUGHARTCredential: DNP
Location Address6000 E STATE STRockford, IL 61108-2521
Mailing Address333 N Summit St Fl 7Toledo, OH 43604-2615 · (800) 427-1902 · Fax (800) 564-5952
Phone(815) 397-3691
Fax(815) 397-8760
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateApril 3, 2020
NPPES CertifiedApril 3, 2020
✔ NPI 1790314631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IL · 209.021119
6000 E STATE ST, Rockford, IL 61108
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Quartz.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Toni A Hughart Dnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4183055791
PECOS Enrollment IDI20200515000693
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Toni Hughart reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Northern Illinois Hospice Association
2.4 mi
Hospice Care, Community Based
4751 HARRISON AVE
Rockford, IL 61108
  • Reassigned Medicare billing, Illinois enrollment
  • 4 clinicians in this Medicare group
NPI 1700884731 (815) 398-0500

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61108 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNIFER RAUSCHER DC
Chiropractor
6000 E STATE ST
ROCKFORD, IL 61108
Winnebago County (815) 516-8327

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Toni Hughart's NPI number?

The NPI number for Toni Hughart is 1790314631. It was assigned to this individual provider in the NPPES registry on April 3, 2020.

Where is Toni Hughart located?

Toni Hughart practices at 6000 E State St, Rockford, IL 61108. The listed phone number is (815) 397-3691.

What is Toni Hughart's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Toni Hughart enrolled in Medicare?

Yes. Toni Hughart is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Toni Hughart's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Toni Hughart reassigns Medicare benefits to Northern Illinois Hospice Association (Rockford, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Toni Hughart's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Toni Hughart accept?

Health plans from Quartz list Toni Hughart as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Toni Hughart was last updated on April 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.