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MICHELLE TOLEDO PA
NPI 1811715162
Physician Assistant in Caguas, PR

Active since September 26, 2024PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: November 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michelle Toledo Pa NPPES

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

MICHELLE TOLEDO PA (NPI 1811715162) is an individual physician assistant in Caguas, Puerto Rico, licensed in Illinois (085.010755) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS, is affiliated with Northwestern Medicine Central Dupage Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1811715162
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMICHELLE TOLEDOCredential: PA
Location AddressPO BOX 4968Caguas, PR 00726-4968
Mailing AddressPo Box 4968Caguas, PR 00726-4968
Phone(787) 743-3038
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateSeptember 26, 2024
Last NPPES UpdateNovember 26, 2024
NPPES CertifiedNovember 26, 2024
✔ NPI 1811715162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in IL · 085.010755
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

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

Michelle Toledo Pa 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 ID8820518756
PECOS Enrollment IDI20250224000452
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.

Hospital Affiliations CMS Care Compare

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

Northwestern Medicine Central Dupage Hospital

Acute Care Hospitals · Winfield, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140242
Location25 North Winfield RoadWinfield, IL 60190 · Du Page County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00726 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
$88.07 typical visit price
range $56.86 – $172.44
Typical copayment $22.01 (range $14.21 – $43.11)
Most-billed visit code 99203
Established Patient
$70.88 typical visit price
range $18.24 – $140.44
Typical copayment $17.72 (range $4.56 – $35.11)
Most-billed visit code 99213
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 7

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

FABIAN ANDRES GOMEZ
Student in an Organized Health Care Education/Training Program
PO BOX 4968
CAGUAS, PR 00726
Caguas Municipio (787) 743-3038
CAROL NICOLE SANCHEZ SANTANA
Student in an Organized Health Care Education/Training Program
PO BOX 4968
CAGUAS, PR 00726
Caguas Municipio (787) 743-3038
SHAYAN A. AMIR-KABIRIAN
Student in an Organized Health Care Education/Training Program
PO BOX 4968
CAGUAS, PR 00726
Caguas Municipio (787) 743-3038
HILMARIS CHARISSE SANTIAGO FIGUEROA
Student in an Organized Health Care Education/Training Program
PO BOX 4968
CAGUAS, PR 00726
Caguas Municipio (787) 743-3038
SOFIA CAROLINA DE FATIMA AYALA RODRIGUEZ
Student in an Organized Health Care Education/Training Program
PO BOX 4968
CAGUAS, PR 00726
Caguas Municipio (787) 743-3038
SOLMARY VEGA VEGA PA-C
Physician Assistant
PO BOX 4968
CAGUAS, PR 00726
Caguas Municipio (787) 743-3038
CHRISTIAN GERARDO CORREA GARCIA
Student in an Organized Health Care Education/Training Program
PO BOX 4968
CAGUAS, PR 00726
Caguas Municipio (787) 743-3038

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 Michelle Toledo's NPI number?

The NPI number for Michelle Toledo is 1811715162. It was assigned to this individual provider in the NPPES registry on September 26, 2024.

Where is Michelle Toledo located?

Michelle Toledo practices at PO Box 4968, Caguas, PR 00726. The listed phone number is (787) 743-3038.

What is Michelle Toledo's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Michelle Toledo enrolled in Medicare?

Yes. Michelle Toledo 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.

What insurance does Michelle Toledo accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Michelle Toledo 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 Michelle Toledo affiliated with any hospitals?

According to CMS data, Michelle Toledo is affiliated with Northwestern Medicine Central Dupage Hospital.

When was this NPI record last updated?

The NPPES record for Michelle Toledo was last updated on November 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.