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MRS. DANIELLE WYMARD-TOMLINSON DNP
NPI 1801264163
Nurse Practitioner - Adult Health in Monroeville, PA

Active since September 03, 2015PECOS EnrolledAccepts Medicare Assignment
93.78/100
CMS Quality Rating
2570 HAYMAKER RD FORBES REGIONAL HOSPITAL, HOSPITAL ASSOCIATES OF PITTSBURGH, MONROEVILLE, PA 15146(412) 858-8618(412) 858-7628 Get Directions Write a Review

NPPES record last updated: November 5, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 5, 2020, Feb 9, 2017 (2 updates tracked since 2017).

About Mrs. Danielle Wymard-tomlinson Dnp NPPES

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

MRS. DANIELLE WYMARD-TOMLINSON DNP (NPI 1801264163) is an individual adult health provider in Monroeville, Pennsylvania, licensed in Pennsylvania (SP015331) and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS, is affiliated with Forbes Hospital, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1801264163
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMRS. DANIELLE WYMARD-TOMLINSONCredential: DNP
Location Address2570 HAYMAKER RD FORBES REGIONAL HOSPITAL, HOSPITAL ASSOCIATES OF PITTSBURGHMonroeville, PA 15146
Mailing Address3824 Northern Pike, Ste 700Monroeville, PA 15146-2141 · (412) 457-0060
Phone(412) 858-8618
Fax(412) 858-7628
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateSeptember 3, 2015
Last NPPES UpdateNovember 5, 20202 updates tracked since enumeration
NPPES CertifiedNovember 5, 2020
✔ NPI 1801264163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in PA · SP015331
2570 HAYMAKER RD FORBES REGIONAL HOSPITAL, Monroeville, PA 15146
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Danielle Wymard-tomlinson 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 ID7315247699
PECOS Enrollment IDI20151119000135
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.

Areas of Expertise CMS Part B claims 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
46 services20 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
22 services16 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
19 services19 patients

Hospital Affiliations CMS Care Compare

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

Forbes Hospital

Acute Care Hospitals · Monroeville, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390267
Location2570 Haymaker RoadMonroeville, PA 15146 · Allegheny County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15146 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.07
Promoting Interoperability100
Improvement Activities40

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 Danielle Wymard-tomlinson's NPI number?

The NPI number for Danielle Wymard-tomlinson is 1801264163. It was assigned to this individual provider in the NPPES registry on September 3, 2015.

Where is Danielle Wymard-tomlinson located?

Danielle Wymard-tomlinson practices at 2570 Haymaker Rd Forbes Regional Hospital Hospital Associates Of Pittsburgh, Monroeville, PA 15146. The listed phone number is (412) 858-8618.

What is Danielle Wymard-tomlinson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Danielle Wymard-tomlinson enrolled in Medicare?

Yes. Danielle Wymard-tomlinson 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.

Is Danielle Wymard-tomlinson affiliated with any hospitals?

According to CMS data, Danielle Wymard-tomlinson is affiliated with Forbes Hospital.

When was this NPI record last updated?

The NPPES record for Danielle Wymard-tomlinson was last updated on November 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.