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TOSHA MARIE APPLEGATE APRN- CNP
NPI 1891346862
Nurse Practitioner - Family in Mountain Home, AR

Active since September 21, 2019PECOS EnrolledAccepts Medicare Assignment
19 MEDICAL PLZ, MOUNTAIN HOME, AR 72653(870) 580-0283(870) 580-0297 Get Directions Write a Review

NPPES record last updated: February 1, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 28, 2021, Sep 21, 2019 (2 updates tracked since 2019).

About Tosha Marie Applegate Aprn- Cnp NPPES

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

TOSHA MARIE APPLEGATE APRN- CNP (NPI 1891346862) is an individual family provider in Mountain Home, Arkansas, licensed in Arkansas (120747) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1891346862
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTOSHA MARIE APPLEGATECredential: APRN- CNP
Location Address19 MEDICAL PLZMountain Home, AR 72653-2962
Mailing Address19 Medical PlzMountain Home, AR 72653-2962 · (870) 580-0283 · Fax (870) 580-0297
Phone(870) 580-0283
Fax(870) 580-0297
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateSeptember 21, 2019
Last NPPES UpdateFebruary 1, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 1, 2024
✔ NPI 1891346862 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 AR · 120747
19 MEDICAL PLZ, Mountain Home, AR 72653
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan 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 and accepts Medicare assignment

Tosha Marie Applegate Aprn- Cnp 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 ID4981000254
PECOS Enrollment IDI20210913000551
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 Tosha Applegate reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Vitality Plus LLC
0.2 mi
Clinic/Center
501 HOSPITAL DR
Mountain Home, AR 72653
  • Reassigned Medicare billing, Arkansas enrollment
  • 7 clinicians in this Medicare group
NPI 1023639614 (870) 580-0283
Baxter Regional Enterprises, LLC
0.2 mi
Otolaryngology
626 BURNETT DR STE 1
Mountain Home, AR 72653
  • Reassigned Medicare billing, Arkansas enrollment
  • 23 clinicians in this Medicare group
NPI 1467313999 (870) 424-4200

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 9

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.

Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
866 services52 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
598 services55 patients
Infusion into a vein for therapy, prevention, or diagnosis, each additional hour 96366
This procedure involves delivering medication, fluids, or nutrients directly into your vein. This is done to treat, prevent, or diagnose various conditions. Each additional hour refers to the extended time you may need to receive these substances for optimal results.
402 services16 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
357 services45 patients
Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less 96365
This is a procedure where a medical professional inserts a small tube into your vein to deliver medication, nutrients, or fluids directly into your bloodstream. This can be for treatment, prevention, or diagnosis. The process typically takes less than an hour.
291 services17 patients
Refilling and maintenance of portable pump 96521
Refilling and maintenance of a portable pump involves replenishing the medication contained within the pump and ensuring its functionality. This process includes checking battery life, inspecting for damages, and cleaning the device for optimal performance. It's essential to maintain a clean, functional pump for effective treatment.
289 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72653 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
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
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 2

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

VITALITY PLUS INFUSION CENTER, LLC
Clinic/Center (Infusion Therapy)
19 MEDICAL PLZ
MOUNTAIN HOME, AR 72653
Baxter County (870) 232-0885
MYHEALTH RAPID DIAGNOSTIC LLC
Clinical Medical Laboratory
19 MEDICAL PLZ
MOUNTAIN HOME, AR 72653
Baxter County (870) 580-0283

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 Tosha Applegate's NPI number?

The NPI number for Tosha Applegate is 1891346862. It was assigned to this individual provider in the NPPES registry on September 21, 2019.

Where is Tosha Applegate located?

Tosha Applegate practices at 19 Medical Plz, Mountain Home, AR 72653. The listed phone number is (870) 580-0283.

What is Tosha Applegate's specialty?

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

Is Tosha Applegate enrolled in Medicare?

Yes. Tosha Applegate 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 Tosha Applegate's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tosha Applegate reassigns Medicare benefits to 2 organizations: Vitality Plus LLC (Mountain Home, AR) and Baxter Regional Enterprises, LLC (Mountain Home, AR). 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 Tosha Applegate's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tosha Applegate accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Tosha Applegate 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 Tosha Applegate was last updated on February 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.