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TONYA WOOTON APRN
NPI 1932140878
Nurse Practitioner - Family in Bardstown, KY

Active since June 10, 2006PECOS EnrolledAccepts Medicare Assignment
141 PARKWAY DRIVE, BARDSTOWN, KY 40004(502) 348-4757(502) 348-4757 Get Directions Write a Review

NPPES record last updated: September 12, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 12, 2017, Nov 22, 2016 (2 updates tracked since 2016).

About Tonya Wooton Aprn NPPES

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

TONYA WOOTON APRN (NPI 1932140878) is an individual family provider in Bardstown, Kentucky, licensed in Kentucky (3003561) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Hardin, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1932140878
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTONYA WOOTONCredential: APRN
Location Address141 PARKWAY DRIVEBardstown, KY 40004-3220
Mailing Address141 Parkway DriveBardstown, KY 40004-3220 · (502) 348-4757
Phone(502) 348-4757
Fax(502) 348-4757
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateJune 10, 2006
Last NPPES UpdateSeptember 12, 20172 updates tracked since enumeration
✔ NPI 1932140878 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 KY · 3003561
141 PARKWAY DRIVE, Bardstown, KY 40004
Open in Google Maps ↗

Other Identifiers 2

Medicaid7100476020KY
Medicare UPINP28147KY

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

Tonya Wooton Aprn 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 ID6002883758
PECOS Enrollment IDI20040913001208
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 2

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.
43 services42 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
13 services13 patients

Hospital Affiliations CMS Care Compare 4

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

Baptist Health Hardin

Acute Care Hospitals · Elizabethtown, KY
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number180012
Location913 North Dixie AvenueElizabethtown, KY 42701 · Hardin County
Emergency services

Spring View Hospital

Acute Care Hospitals · Lebanon, KY
4/5 CMS rating
OwnershipProprietary
CMS Certification Number180024
Location320 Loretto RoadLebanon, KY 40033 · Marion County
Emergency services Birthing friendly

Owensboro Health Twin Lakes Medical Center

Acute Care Hospitals · Leitchfield, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number180070
Location910 Wallace AvenueLeitchfield, KY 42754 · Grayson County
Emergency services Birthing friendly

Breckinridge Memorial Hospital

Critical Access Hospitals · Hardinsburg, KY
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number181319
Location1011 Old Highway 60Hardinsburg, KY 40143 · Breckinridge County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40004 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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 2

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

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$91.55 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$34.10 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Tonya Wooton's NPI number?

The NPI number for Tonya Wooton is 1932140878. It was assigned to this individual provider in the NPPES registry on June 10, 2006.

Where is Tonya Wooton located?

Tonya Wooton practices at 141 Parkway Drive, Bardstown, KY 40004. The listed phone number is (502) 348-4757.

What is Tonya Wooton's specialty?

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

Is Tonya Wooton enrolled in Medicare?

Yes. Tonya Wooton 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.

Is Tonya Wooton affiliated with any hospitals?

According to CMS data, Tonya Wooton is affiliated with Baptist Health Hardin, Spring View Hospital, Owensboro Health Twin Lakes Medical Center and Breckinridge Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Tonya Wooton was last updated on September 12, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.