MS. TERRY DENISE TONEY NP
NPI 1922307206
Nurse Practitioner in Spindale, NC
About Ms. Terry Denise Toney Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. TERRY DENISE TONEY NP (NPI 1922307206) is an individual nurse practitioner in Spindale, North Carolina, licensed in North Carolina (5005099) and active in the NPI registry since March 2011. She is enrolled in Medicare PECOS, is affiliated with Rutherford Regional Medical Center, and is a graduate of Other (2010).
NPPES Registry Identity
Specialties & Licenses 3
Other Identifiers 4
Accepted 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
Ms. Terry Denise Toney Np 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.
Medicare Billing Reassignments
7Medicare enrollment records show Terry Toney reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Spindale, NC 28160
- Reassigned Medicare billing, North Carolina enrollment
- 61 clinicians in this Medicare group
Forest City, NC 28043
- Reassigned Medicare billing, North Carolina enrollment
- 57 clinicians in this Medicare group
Arden, NC 28704
- Reassigned Medicare billing, North Carolina enrollment
- Medicare enrollment name: Mission Health Community Multispecialty Providers LLC
- 824 clinicians in this Medicare group
Hickory, NC 28601
- Reassigned Medicare billing, North Carolina enrollment
- 51 clinicians in this Medicare group
Gastonia, NC 28054
- Reassigned Medicare billing, North Carolina enrollment
- 200 clinicians in this Medicare group
Charlotte, NC 28210
- Reassigned Medicare billing, North Carolina enrollment
- 118 clinicians in this Medicare group
Mooresville, NC 28115
- Reassigned Medicare billing, North Carolina enrollment
- Medicare enrollment name: Vitae Health Medical North Carolina PLLC
- 121 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.
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Rutherford Regional Medical Center
Acute Care Hospitals · Rutherfordton, NCFrye Regional Medical Center
Acute Care Hospitals · Hickory, NCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 28160 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SPINDALE, NC 28160
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 Terry Toney's NPI number?
The NPI number for Terry Toney is 1922307206. It was assigned to this individual provider in the NPPES registry on March 25, 2011.
Where is Terry Toney located?
Terry Toney practices at 144 Reservation Dr, Spindale, NC 28160. The listed phone number is (828) 287-0200.
What is Terry Toney's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Terry Toney enrolled in Medicare?
Yes. Terry 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 Terry Toney's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Terry Toney reassigns Medicare benefits to 7 organizations: Fast Pace Kentucky PLLC (Spindale, NC), Mh Mission Hospital Mcdowell, Lllp (Forest City, NC), Mission Community Anesthesiology Specialists LLC (Arden, NC), Dlp Frye Hospitalists LLC (Hickory, NC), Gastonia Physician Services, PLLC (Gastonia, NC) and 2 more organizations, listed in the Medicare section above. 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 Terry Toney's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Terry Toney accept?
Health plans from AmeriHealth Caritas Next list Terry Toney 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 Terry Toney affiliated with any hospitals?
According to CMS data, Terry Toney is affiliated with Rutherford Regional Medical Center and Frye Regional Medical Center.
When was this NPI record last updated?
The NPPES record for Terry Toney was last updated on June 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Ms. Terry Denise Toney, NP · NPI 1922307206
Nurse Practitioner physician in Spindale, North Carolina. Individual provider, active in the CMS NPPES registry since March 25, 2011.
## Identity
- **NPI:** 1922307206 (Entity type: Individual)
- **Enumerated:** March 25, 2011
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 5005099 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 144 RESERVATION DR, Spindale, NC 28160-1500
- **Phone:** (828) 287-0200 · **Fax:** (828) 287-8755
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 7 organizations under Medicare reassignment (form CMS-855R): Fast Pace Kentucky PLLC (NPI 1609634633, Spindale, NC); Mh Mission Hospital Mcdowell, Lllp (NPI 1962978122, Forest City, NC); Mission Community Anesthesiology Specialists LLC (NPI 1841760238, Arden, NC); Dlp Frye Hospitalists LLC (NPI 1275128944, Hickory, NC); Gastonia Physician Services, PLLC (NPI 1316367691, Gastonia, NC); and 2 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** June 9, 2025
- **Other identifiers:** Medicaid 1922307206 (NC); Medicaid 7004962 (NC); Medicaid NP1829 (SC); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1922307206) · Data from the CMS NPPES public registry.