TONYA ERDLE FNP
NPI 1861975658
Nurse Practitioner - Family in Avon, NY

Active since September 08, 2018PECOS EnrolledAccepts Medicare Assignment
95.19/100
CMS Quality Rating

NPPES record last updated: September 21, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 21, 2022, Dec 6, 2018, Sep 8, 2018 (3 updates tracked since 2018).

About Tonya Erdle Fnp NPPES

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

TONYA ERDLE FNP (NPI 1861975658) is an individual family provider in Avon, New York, licensed in New York (343806) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS, is affiliated with Rochester General Hospital, and maintains a secondary practice location in Rochester.

NPPES Registry Identity

NPI1861975658
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTONYA ERDLECredential: FNP
Location Address39 FISK PLAvon, NY 14414-1213
Mailing Address100 Kings Hwy SRochester, NY 14617-5504 · (585) 922-0553
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateSeptember 8, 2018
Last NPPES UpdateSeptember 21, 20223 updates tracked since enumeration
NPPES CertifiedSeptember 21, 2022
✔ NPI 1861975658 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 NY · 343806
39 FISK PL, Avon, NY 14414

Secondary Practice Location 1

Location 1222 Alexander StreetRochester, NY 14607 · Phone (585) 922-8070 · Fax (585) 922-8078

Other Identifiers 3

Other343806NY · New York State License, Np
OtherF07181140American Academy Of Nurse Practitioners National Certification Board
Other695760NY · New York State Registered Professional Nurse License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tonya Erdle Fnp 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 ID6608112198
PECOS Enrollment IDI20190103001529
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 Reassignments

2

Medicare enrollment records show Tonya Erdle reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Orthopaedic Surgery
125 RED CREEK DR
Rochester, NY 14623
  • Reassigned Medicare billing, New York enrollment
  • 1,030 clinicians in this Medicare group
Family Medicine
181 LOMB MEMORIAL DR
Rochester, NY 14623
  • Reassigned Medicare billing, New York enrollment
  • 2,285 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Rochester General Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330125
Location1425 Portland AvenueRochester, NY 14621 · Monroe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14414 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

95.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality70.62
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 Tonya Erdle's NPI number?

The NPI number for Tonya Erdle is 1861975658. It was assigned to this individual provider in the NPPES registry on September 8, 2018.

Where is Tonya Erdle located?

Tonya Erdle practices at 39 Fisk Pl, Avon, NY 14414. The listed phone number is (585) 737-8005.

What is Tonya Erdle's specialty?

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

Is Tonya Erdle enrolled in Medicare?

Yes. Tonya Erdle 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.

Which organizations bill Medicare for Tonya Erdle's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tonya Erdle reassigns Medicare benefits to 2 organizations: Western New York Medical Practice, PC (Rochester, NY) and Rochester General Hospital (Rochester, NY). Each 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 Tonya Erdle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Tonya Erdle affiliated with any hospitals?

According to CMS data, Tonya Erdle is affiliated with Rochester General Hospital.

When was this NPI record last updated?

The NPPES record for Tonya Erdle was last updated on September 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.