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CRAIG DAVID TONEY CNP
NPI 1932655198
Nurse Practitioner in Worcester, MA

Active since August 28, 2016PECOS Enrolled
55 LAKE AVE N, WORCESTER, MA 01655(508) 856-2846(508) 856-3981 Get Directions Write a Review

NPPES record last updated: December 30, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 30, 2016, Aug 28, 2016 (2 updates tracked since 2016).

About Craig David Toney Cnp NPPES

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

CRAIG DAVID TONEY CNP (NPI 1932655198) is an individual nurse practitioner in Worcester, Massachusetts, licensed in Massachusetts (RN2277349) and active in the NPI registry since August 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932655198
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameCRAIG DAVID TONEYCredential: CNP
Location Address55 LAKE AVE NWorcester, MA 01655-0002
Mailing AddressPo Box 415348Boston, MA 02241-5348 · (800) 225-8885 · Fax (508) 334-1977
Phone(508) 856-2846
Fax(508) 856-3981
Sole ProprietorNo
Enumeration DateAugust 28, 2016
Last NPPES UpdateDecember 30, 20162 updates tracked since enumeration
✔ NPI 1932655198 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MA · RN2277349
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedClinical Nurse Specialist · GerontologyTaxonomy 364SG0600X · License AG0616286 (MA)
55 LAKE AVE N, Worcester, MA 01655
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Craig David Toney Cnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01655 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

Other Providers at the Same Location NPPES 20

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

HILLARY R. IRONS MD
Emergency Medicine
55 LAKE AVE N
WORCESTER, MA 01655
Worcester County (508) 421-1400
MS. EILEEN A. DUHAMEL NP
Nurse Practitioner
55 LAKE AVE N, DEPARTMENT OF RADIOLOGY
WORCESTER, MA 01655
Worcester County (508) 334-2710
EWA HRYNISZYN CRNA
Nurse Anesthetist, Certified Registered
55 LAKE AVE N, DEPARTMENT OF ANESTHESIOLOGY
WORCESTER, MA 01655
Worcester County (508) 334-3271
HELEN COPSEY PA-C
Physician Assistant
55 LAKE AVE N
WORCESTER, MA 01655
Worcester County (508) 334-8585
DR. ADEPEJU GBADEBO CHAMPION M.D.
Internal Medicine
55 LAKE AVE N
WORCESTER, MA 01655
Worcester County (508) 334-2731
SOWMYA KORAPATI
Internal Medicine (Hematology & Oncology)
55 LAKE AVE N
WORCESTER, MA 01655
Worcester County (508) 334-3550
LAYLA FAKHRZADEH M.D.
Anesthesiology
55 LAKE AVE N, ANESTHESIOLOGY
WORCESTER, MA 01655
Worcester County (508) 334-3271
YOONYIE CHO M.D.
Anesthesiology
55 LAKE AVE N
WORCESTER, MA 01655
Worcester County (508) 334-1000

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 Craig Toney's NPI number?

The NPI number for Craig Toney is 1932655198. It was assigned to this individual provider in the NPPES registry on August 28, 2016.

Where is Craig Toney located?

Craig Toney practices at 55 Lake Ave N, Worcester, MA 01655. The listed phone number is (508) 856-2846.

What is Craig Toney's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Craig Toney enrolled in Medicare?

Yes. Craig Toney is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Craig Toney was last updated on December 30, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.