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TONI LYNETTE CLARK APRN
NPI 1851808190
Nurse Practitioner in Hernando, FL

Active since January 09, 2018PECOS EnrolledAccepts Medicare Assignment
73.67/100
CMS Quality Rating
2400 N ESSEX AVE, HERNANDO, FL 34442(352) 513-4276(352) 513-5843 Get Directions Write a Review

NPPES record last updated: December 8, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 8, 2022, Dec 3, 2018, Jan 9, 2018 (3 updates tracked since 2018).

About Toni Lynette Clark Aprn NPPES

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

TONI LYNETTE CLARK APRN (NPI 1851808190) is an individual nurse practitioner in Hernando, Florida, licensed in Florida (APRN9297900) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS, is affiliated with Adventhealth Ocala, and maintains a secondary practice location in The Villages.

NPPES Registry Identity

NPI1851808190
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameTONI LYNETTE CLARKCredential: APRN
Location Address2400 N ESSEX AVEHernando, FL 34442-5320
Mailing Address1020 Lake Sumter LndgThe Villages, FL 32162-2699 · (352) 674-8905 · Fax (352) 674-8919
Phone(352) 513-4276
Fax(352) 513-5843
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJanuary 9, 2018
Last NPPES UpdateDecember 8, 20223 updates tracked since enumeration
NPPES CertifiedDecember 8, 2022
✔ NPI 1851808190 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 FL · APRN9297900
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.
2400 N ESSEX AVE, Hernando, FL 34442
Open in Google Maps ↗

Secondary Practice Location 1

Location 12485 Pinellas PlThe Villages, FL 32163-2703 · Phone (352) 674-1720 · Fax (352) 674-8920

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.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

Toni Lynette Clark Aprn 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 ID2860757747
PECOS Enrollment IDI20180523002804
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 2

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 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.
41 services30 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.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Adventhealth Ocala

Acute Care Hospitals · Ocala, FL
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100062
Location1500 SW 1st AveOcala, FL 34474 · Marion County
Emergency services Birthing friendly

Marion Communtiy Hospital

Acute Care Hospitals · Ocala, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100212
Location1431 SW 1st AveOcala, FL 34471 · Marion County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34442 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

73.67/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality55.94
Promoting Interoperability100
Improvement Activities40
Cost39.63

Other Providers at the Same Location NPPES 3

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

BROOKSVILLE HMA PHYSICIAN MANAGEMENT LLC
Surgery
2400 N ESSEX AVE
HERNANDO, FL 34442
Citrus County (352) 513-4276
DR. PREETI LEKHRA M.D.
Family Medicine
2400 N ESSEX AVE
HERNANDO, FL 34442
Citrus County (352) 513-4276
TAMPA GENERAL MEDICAL GROUP INC
Family Medicine
2400 N ESSEX AVE
HERNANDO, FL 34442
Citrus County (352) 513-4276

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 Clark's NPI number?

The NPI number for Toni Clark is 1851808190. It was assigned to this individual provider in the NPPES registry on January 9, 2018.

Where is Toni Clark located?

Toni Clark practices at 2400 N Essex Ave, Hernando, FL 34442. The listed phone number is (352) 513-4276.

What is Toni Clark's specialty?

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

Is Toni Clark enrolled in Medicare?

Yes. Toni Clark 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 Toni Clark accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Oscar Health Maintenance Organization of Florida and 2 other insurers list Toni Clark 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 Clark affiliated with any hospitals?

According to CMS data, Toni Clark is affiliated with Adventhealth Ocala and Marion Communtiy Hospital.

When was this NPI record last updated?

The NPPES record for Toni Clark was last updated on December 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.