TONI DOMINIQUE MCDOWELL NURSE PRACTITIONER
NPI 1922532928
Nurse Practitioner - Family in Baltimore, MD
About Toni Dominique Mcdowell Nurse Practitioner NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TONI DOMINIQUE MCDOWELL NURSE PRACTITIONER (NPI 1922532928) is an individual family provider in Baltimore, Maryland, licensed in Maryland (R188055) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Forest Hill, and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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
Toni Dominique Mcdowell Nurse Practitioner 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
6Medicare enrollment records show Toni Mcdowell reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Baltimore, MD 21202
- Reassigned Medicare billing, Maryland enrollment
- 423 clinicians in this Medicare group
Baltimore, MD 21211
- Reassigned Medicare billing, Maryland enrollment
- 87 clinicians in this Medicare group
Baltimore, MD 21212
- Reassigned Medicare billing, Maryland enrollment
- 289 clinicians in this Medicare group
Edgewood, MD 21040
- Reassigned Medicare billing, Maryland enrollment
- 19 clinicians in this Medicare group
Rockville, MD 20854
- Reassigned Medicare billing, District of Columbia and Maryland enrollments
- 168 clinicians in this Medicare group
Newark, DE 19713
- Reassigned Medicare billing, Delaware and Maryland enrollments
- 113 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 8
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 21202 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Toni Mcdowell's NPI number?
The NPI number for Toni Mcdowell is 1922532928. It was assigned to this individual provider in the NPPES registry on April 17, 2017.
Where is Toni Mcdowell located?
Toni Mcdowell practices at 630 S Exeter St, Baltimore, MD 21202. The listed phone number is (410) 962-6520.
What is Toni Mcdowell's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Toni Mcdowell enrolled in Medicare?
Yes. Toni Mcdowell 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 Toni Mcdowell's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Toni Mcdowell reassigns Medicare benefits to 6 organizations: St Paul Place Specialists, Inc. (Baltimore, MD), Umms Ambulatory Care LLC (Baltimore, MD), Medstar Urgent Care LLC (Baltimore, MD), Harford County Health Department (Edgewood, MD), Minuteclinic LLC (Rockville, MD) and 1 more organization, 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 Toni Mcdowell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Toni Mcdowell was last updated on August 23, 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.
# Toni Dominique Mcdowell, NURSE PRACTITIONER · NPI 1922532928
Family physician in Baltimore, Maryland. Individual provider, active in the CMS NPPES registry since April 17, 2017.
## Identity
- **NPI:** 1922532928 (Entity type: Individual)
- **Enumerated:** April 17, 2017
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** R188055 (Maryland)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 630 S EXETER ST, Baltimore, MD 21202-4316
- **Phone:** (410) 962-6520
## 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:** 6 organizations under Medicare reassignment (form CMS-855R): St Paul Place Specialists, Inc. (NPI 1174564736, Baltimore, MD); Umms Ambulatory Care LLC (NPI 1134726649, Baltimore, MD); Medstar Urgent Care LLC (NPI 1942623319, Baltimore, MD); Harford County Health Department (NPI 1942579073, Edgewood, MD); Minuteclinic LLC (NPI 1134191836, Rockville, MD); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** August 23, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1922532928) · Data from the CMS NPPES public registry.