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MRS. MELISSA NICOLETTA TOULIOS APN
NPI 1912207036
Nurse Practitioner - Family in Naperville, IL

Active since October 22, 2010PECOS EnrolledAccepts Medicare Assignment
1032 E OGDEN AVE, NAPERVILLE, IL 60563(708) 334-3471 Get Directions Write a Review

NPPES record last updated: October 22, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Melissa Nicoletta Toulios Apn NPPES

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

MRS. MELISSA NICOLETTA TOULIOS APN (NPI 1912207036) is an individual family provider in Naperville, Illinois, licensed in Illinois (209008429) and active in the NPI registry since October 2010. She is enrolled in Medicare PECOS, is affiliated with Macneal Hospital, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1912207036
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. MELISSA NICOLETTA TOULIOSCredential: APN
Location Address1032 E OGDEN AVENaperville, IL 60563-8618
Mailing Address6844 W Linden DrPalos Heights, IL 60463-2136 · (708) 334-3471
Phone(708) 334-3471
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateOctober 22, 2010
✔ NPI 1912207036 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 IL · 209008429
1032 E OGDEN AVE, Naperville, IL 60563
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.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

Mrs. Melissa Nicoletta Toulios Apn 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 ID4880877018
PECOS Enrollment IDI20110325000575
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 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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
58 services52 patients
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 services24 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
32 services29 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.
31 services30 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
30 services24 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.
25 services24 patients

Hospital Affiliations CMS Care Compare 2

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

Macneal Hospital

Acute Care Hospitals · Berwyn, IL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number140054
Location3249 South Oak Park AvenueBerwyn, IL 60402 · Cook County
Emergency services Birthing friendly

Loyola University Medical Center

Acute Care Hospitals · Maywood, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140276
Location2160 S 1st AvenueMaywood, IL 60153 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60563 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
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier11 claims11 services$198.65 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

METROPOLITAN FAMILY CARE
Voluntary or Charitable
1032 E OGDEN AVE
NAPERVILLE, IL 60563
Dupage County (630) 705-1208
MINI PRADEEP
Nurse Practitioner (Adult Health)
1032 E OGDEN AVE
NAPERVILLE, IL 60563
Dupage County (630) 705-1208
MRS. MINI PAUL ANP
Nurse Practitioner (Adult Health)
1032 E OGDEN AVE
NAPERVILLE, IL 60563
Dupage County (630) 705-1208
METRO HOME HEALTH CARE NFP
Home Health
1032 E OGDEN AVE, SUITE 106
NAPERVILLE, IL 60563
Dupage County (331) 472-1318

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 Melissa Toulios's NPI number?

The NPI number for Melissa Toulios is 1912207036. It was assigned to this individual provider in the NPPES registry on October 22, 2010.

Where is Melissa Toulios located?

Melissa Toulios practices at 1032 E Ogden Ave, Naperville, IL 60563. The listed phone number is (708) 334-3471.

What is Melissa Toulios's specialty?

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

Is Melissa Toulios enrolled in Medicare?

Yes. Melissa Toulios 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 Melissa Toulios accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Melissa Toulios 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 Melissa Toulios affiliated with any hospitals?

According to CMS data, Melissa Toulios is affiliated with Macneal Hospital and Loyola University Medical Center.

When was this NPI record last updated?

The NPPES record for Melissa Toulios was last updated on October 22, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.