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ELAINA BINGHAM TOENJES NURSE PRACTITIONER
NPI 1861801250
Nurse Practitioner - Family in Oelwein, IA

Active since August 11, 2014PECOS Enrolled
800 5TH ST SE, OELWEIN, IA 50662(319) 283-1908(319) 283-5828 Get Directions Write a Review

NPPES record last updated: August 11, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Elaina Bingham Toenjes Nurse Practitioner NPPES

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

ELAINA BINGHAM TOENJES NURSE PRACTITIONER (NPI 1861801250) is an individual family provider in Oelwein, Iowa, licensed in Iowa (A128998) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861801250
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameELAINA BINGHAM TOENJESCredential: NURSE PRACTITIONER
Location Address800 5TH ST SEOelwein, IA 50662-2547
Mailing Address800 5th St SeOelwein, IA 50662-2547 · (319) 283-1908 · Fax (319) 283-5828
Phone(319) 283-1908
Fax(319) 283-5828
Sole ProprietorNo
Enumeration DateAugust 11, 2014
✔ NPI 1861801250 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 IA · A128998
800 5TH ST SE, Oelwein, IA 50662
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elaina Bingham Toenjes Nurse Practitioner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Elaina Toenjes reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Vitae Health Medical Iowa PLLC
123 mi
Internal Medicine
5010 GRAND RIDGE DR
West Des Moines, IA 50265
  • Reassigned Medicare billing, Iowa enrollment
  • 17 clinicians in this Medicare group
NPI 1811603012 (515) 222-5991

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 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 nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
54 services54 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
45 services36 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
27 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50662 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
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.

ABCM CORPORATION
Clinic/Center (Rehabilitation)
800 5TH ST SE
OELWEIN, IA 50662
Fayette County (319) 283-1908
ABCM CORPORATION
Skilled Nursing Facility
800 5TH ST SE
OELWEIN, IA 50662
Fayette County (319) 283-1908
COURTNEY JO SHIMP NICHOLS ARNP, FNP-C
Family Medicine (Adult Medicine)
800 5TH ST SE
OELWEIN, IA 50662
Fayette County (319) 283-1908
OELWEIN FIFTH IA SKILLED NURSING FACILITY, LLC
Skilled Nursing Facility
800 5TH ST SE
OELWEIN, IA 50662
Fayette County (319) 283-1908

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 Elaina Toenjes's NPI number?

The NPI number for Elaina Toenjes is 1861801250. It was assigned to this individual provider in the NPPES registry on August 11, 2014.

Where is Elaina Toenjes located?

Elaina Toenjes practices at 800 5th St SE, Oelwein, IA 50662. The listed phone number is (319) 283-1908.

What is Elaina Toenjes's specialty?

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

Is Elaina Toenjes enrolled in Medicare?

Yes. Elaina Toenjes is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Elaina Toenjes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elaina Toenjes reassigns Medicare benefits to Vitae Health Medical Iowa PLLC (West Des Moines, IA). The 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 Elaina Toenjes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Elaina Toenjes accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Wellmark Health Plan of Iowa, Inc. list Elaina Toenjes 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 Elaina Toenjes was last updated on August 11, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.