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TONI PETRALIE
NPI 1790403582
Nurse Practitioner in Kansas City, MO

Active since August 17, 2022PECOS EnrolledAccepts Medicare Assignment
8000 MERCIER ST, KANSAS CITY, MO 64114(816) 929-4455 Get Directions Write a Review

NPPES record last updated: August 17, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Toni Petralie NPPES

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

TONI PETRALIE (NPI 1790403582) is an individual nurse practitioner in Kansas City, Missouri, licensed in Kansas (53-81453-122) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS, is affiliated with St Lukes Hospital Of Kansas City, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1790403582
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameTONI PETRALIE
Location Address8000 MERCIER STKansas City, MO 64114-2122
Mailing Address8000 Mercier StKansas City, MO 64114-2122 · (816) 929-4455
Phone(816) 929-4455
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 17, 2022
NPPES CertifiedAugust 17, 2022
✔ NPI 1790403582 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in KS · 53-81453-122
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
8000 MERCIER ST, Kansas City, MO 64114
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas City.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 Petralie 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 ID9436514213
PECOS Enrollment IDI20230717000814
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 Reassignments

3

Medicare enrollment records show Toni Petralie reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Saint Luke's Physician Group Inc
3.4 mi
Family Medicine
901 E 104TH ST, MS 400N
Kansas City, MO 64131
  • Reassigned Medicare billing, Kansas and Missouri enrollments
  • Medicare enrollment name: Saint Lukes Physician Group Inc
  • 845 clinicians in this Medicare group
NPI 1093263717 (816) 502-8782
Signify Health Medical Associates Of Kansas LLC
173 mi
Multi-Specialty
801 E DOUGLAS AVE FL 2
Wichita, KS 67202
  • Reassigned Medicare billing, Kansas enrollment
  • 260 clinicians in this Medicare group
NPI 1780261701 (877) 868-5351
Signify Health, LLC
436 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Missouri enrollment
  • 412 clinicians in this Medicare group
NPI 1689158487 (469) 466-7007

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

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
197 services183 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
105 services98 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
74 services64 patients
Blood test, clotting time 85610
A clotting time blood test helps determine how quickly your blood forms clots, a process crucial to stop bleeding. During the test, a small blood sample is taken from your arm. The sample is then analyzed in a lab to see how long it takes for a clot to form.
64 services40 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
62 services60 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
35 services34 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Lukes Hospital Of Kansas City

Acute Care Hospitals · Kansas City, MO
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260138
Location4401 Wornall RoadKansas City, MO 64111 · Jackson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64114 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
$85.82 typical visit price
range $55.29 – $168.52
Typical copayment $21.45 (range $13.82 – $42.13)
Most-billed visit code 99203
Established Patient
$97.82 typical visit price
range $17.60 – $137.20
Typical copayment $24.45 (range $4.40 – $34.30)
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.

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 Petralie's NPI number?

The NPI number for Toni Petralie is 1790403582. It was assigned to this individual provider in the NPPES registry on August 17, 2022.

Where is Toni Petralie located?

Toni Petralie practices at 8000 Mercier St, Kansas City, MO 64114. The listed phone number is (816) 929-4455.

What is Toni Petralie's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Toni Petralie enrolled in Medicare?

Yes. Toni Petralie 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 organizations bill Medicare for Toni Petralie's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Toni Petralie reassigns Medicare benefits to 3 organizations: Saint Luke's Physician Group Inc (Kansas City, MO), Signify Health Medical Associates Of Kansas LLC (Wichita, KS) and Signify Health, LLC (Dallas, TX). Each 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 Petralie's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Toni Petralie accept?

Health plans from Blue Cross and Blue Shield of Kansas City list Toni Petralie 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.

Is Toni Petralie affiliated with any hospitals?

According to CMS data, Toni Petralie is affiliated with St Lukes Hospital Of Kansas City.

When was this NPI record last updated?

The NPPES record for Toni Petralie was last updated on August 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.