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DR. TONYA LYNN HENSLEY NP
NPI 1841430659
Nurse Practitioner - Family in Spruce Pine, NC

Active since March 06, 2009PECOS EnrolledAccepts Medicare Assignment
167 LOCUST ST STE 204, SPRUCE PINE, NC 28777(828) 201-2790(828) 367-7827 Get Directions Write a Review

NPPES record last updated: May 27, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 27, 2021, Mar 29, 2021, Nov 9, 2018 (3 updates tracked since 2018).

About Dr. Tonya Lynn Hensley Np NPPES

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

DR. TONYA LYNN HENSLEY NP (NPI 1841430659) is an individual family provider in Spruce Pine, North Carolina, licensed in North Carolina (5004315) and active in the NPI registry since March 2009. She is enrolled in Medicare PECOS and is a graduate of East Tennessee State University Quillen College Of Medicine (2008).

NPPES Registry Identity

NPI1841430659
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDR. TONYA LYNN HENSLEYCredential: NP
Location Address167 LOCUST ST STE 204Spruce Pine, NC 28777-2702
Mailing Address167 Locust St Ste 204Spruce Pine, NC 28777-2702 · (828) 201-2790
Phone(828) 201-2790
Fax(828) 367-7827
Sole ProprietorNo
Medical School CMSEast Tennessee State University Quillen College Of MedicineGraduated 2008
Enumeration DateMarch 6, 2009
Last NPPES UpdateMay 27, 20213 updates tracked since enumeration
NPPES CertifiedMay 27, 2021
✔ NPI 1841430659 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 NC · 5004315
167 LOCUST ST STE 204, Spruce Pine, NC 28777
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.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

Dr. Tonya Lynn Hensley Np 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 ID9931257409
PECOS Enrollment IDI20090511000590
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28777 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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 4

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

ANNE GRIFFITH BARRUS FNP
Nurse Practitioner
167 LOCUST ST STE 204
SPRUCE PINE, NC 28777
Mitchell County (828) 284-2257
THE CENTER FOR RURAL HEALTH INNOVATION
Family Medicine
167 LOCUST ST STE 204
SPRUCE PINE, NC 28777
Mitchell County (828) 467-8815
JACQUELINE PARAMORE PARKER FNP
Nurse Practitioner (Family)
167 LOCUST ST STE 204
SPRUCE PINE, NC 28777
Mitchell County (828) 467-8815
MRS. ANNA SUTTON HAMRICK NP
Nurse Practitioner (Family)
167 LOCUST ST STE 204
SPRUCE PINE, NC 28777
Mitchell County (828) 201-2693

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 Tonya Hensley's NPI number?

The NPI number for Tonya Hensley is 1841430659. It was assigned to this individual provider in the NPPES registry on March 6, 2009.

Where is Tonya Hensley located?

Tonya Hensley practices at 167 Locust St Ste 204, Spruce Pine, NC 28777. The listed phone number is (828) 201-2790.

What is Tonya Hensley's specialty?

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

Is Tonya Hensley enrolled in Medicare?

Yes. Tonya Hensley 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 Tonya Hensley accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Tonya Hensley 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 Tonya Hensley was last updated on May 27, 2021. 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.