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TIFFANY M TONEY APRN, CNP
NPI 1912503673
Nurse Practitioner - Family in Mattoon, IL

Active since December 08, 2020PECOS EnrolledAccepts Medicare Assignment
90.77/100
CMS Quality Rating
2512 HURST DR STE 130, MATTOON, IL 61938(217) 258-7590(217) 258-3686 Get Directions Write a Review

NPPES record last updated: September 3, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 3, 2025, Mar 3, 2025, Jan 5, 2021 and 1 more (4 updates tracked since 2020).

About Tiffany M Toney Aprn, Cnp NPPES

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

TIFFANY M TONEY APRN, CNP (NPI 1912503673) is an individual family provider in Mattoon, Illinois, licensed in Illinois (209022138) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS, is affiliated with St Anthonys Memorial Hospital, and maintains a secondary practice location in Effingham.

NPPES Registry Identity

NPI1912503673
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTIFFANY M TONEYCredential: APRN, CNP
Location Address2512 HURST DR STE 130Mattoon, IL 61938-9200
Mailing Address611 W Park St, FapcUrbana, IL 61801-2501 · (217) 383-3311
Phone(217) 258-7590
Fax(217) 258-3686
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateDecember 8, 2020
Last NPPES UpdateSeptember 3, 20254 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2025
✔ NPI 1912503673 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 · 209022138
2512 HURST DR STE 130, Mattoon, IL 61938
Open in Google Maps ↗

Secondary Practice Location 1

Location 1503 N Maple StEffingham, IL 62401-2006 · Phone (217) 342-2121

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

Tiffany M Toney 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 ID2264847680
PECOS Enrollment IDI20210217002265
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

4

Medicare enrollment records show Tiffany Toney reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cep America-Illinois Hospitalists, LLP
27 mi
Internal Medicine
200 S CEDAR ST
Shelbyville, IL 62565
  • Reassigned Medicare billing, Illinois enrollment
  • 329 clinicians in this Medicare group
NPI 1891562369 (217) 774-3961
Vituity - Illinois Auc LLP
28 mi
Emergency Medicine
801 W TEMPLE AVE
Effingham, IL 62401
  • Reassigned Medicare billing, Illinois enrollment
  • 119 clinicians in this Medicare group
NPI 1306334198 (217) 347-1690
Carle Health Medical Group
44 mi
Internal Medicine
611 W PARK ST
Urbana, IL 61801
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Carle Health Care Incorporated
  • 2,516 clinicians in this Medicare group
NPI 1154653947 (217) 383-8300
Hoopeston Community Memorial Hospital
75 mi
Rural Health
801 E ORANGE ST
Hoopeston, IL 60942
  • Reassigned Medicare billing, Illinois enrollment
  • 488 clinicians in this Medicare group
NPI 1578504544 (214) 283-5644

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.

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.
474 services420 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
34 services33 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
28 services28 patients

Hospital Affiliations CMS Care Compare 3

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

St Anthonys Memorial Hospital

Acute Care Hospitals · Effingham, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140032
Location503 N Maple StreetEffingham, IL 62401 · Effingham County
Emergency services Birthing friendly

Sarah Bush Lincoln Health Center

Acute Care Hospitals · Mattoon, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140189
Location1000 Health Center Drive P O Box 372Mattoon, IL 61938 · Coles County
Emergency services Birthing friendly

Carle Hoopeston Regional Health Center

Critical Access Hospitals · Hoopeston, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141316
Location701 East Orange StreetHoopeston, IL 60942 · Vermilion County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61938 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

90.77/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.98
Improvement Activities40
Cost68.13

Other Providers at the Same Location NPPES 5

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

EMILY N HARDIEK NP
Nurse Practitioner (Family)
2512 HURST DR STE 130
MATTOON, IL 61938
Coles County (217) 258-5900
TORY L. KEEFER FNP
Nurse Practitioner (Family)
2512 HURST DR STE 130
MATTOON, IL 61938
Coles County (217) 258-5900
DR. NAFEES KHAN MD
Pediatrics (Adolescent Medicine)
2512 HURST DR STE 130
MATTOON, IL 61938
Coles County (217) 258-5900
DEEPA ELIZABETH KALAPURAYIL MD
Hospitalist
2512 HURST DR STE 130
MATTOON, IL 61938
Coles County (217) 258-5900
KIRAN KUMAR YELAKANTI M.D.
Pediatrics
2512 HURST DR STE 130
MATTOON, IL 61938
Coles County (217) 258-7590

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 Tiffany Toney's NPI number?

The NPI number for Tiffany Toney is 1912503673. It was assigned to this individual provider in the NPPES registry on December 8, 2020.

Where is Tiffany Toney located?

Tiffany Toney practices at 2512 Hurst Dr Ste 130, Mattoon, IL 61938. The listed phone number is (217) 258-7590.

What is Tiffany Toney's specialty?

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

Is Tiffany Toney enrolled in Medicare?

Yes. Tiffany Toney 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 Tiffany Toney's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tiffany Toney reassigns Medicare benefits to 4 organizations: Cep America-Illinois Hospitalists, LLP (Shelbyville, IL), Vituity - Illinois Auc LLP (Effingham, IL), Carle Health Medical Group (Urbana, IL) and Hoopeston Community Memorial Hospital (Hoopeston, IL). 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 Tiffany Toney's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Tiffany Toney affiliated with any hospitals?

According to CMS data, Tiffany Toney is affiliated with St Anthonys Memorial Hospital, Sarah Bush Lincoln Health Center and Carle Hoopeston Regional Health Center.

When was this NPI record last updated?

The NPPES record for Tiffany Toney was last updated on September 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.