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MRS. MONICA LYNN TOTEN FNP-C
NPI 1992227193
Nurse Practitioner - Family in Rancho Santa Margarita, CA

Active since July 10, 2017PECOS EnrolledAccepts Medicare Assignment
22431 ANTONIO PKWY STE B160-613, RANCHO SANTA MARGARITA, CA 92688(833) 477-2677(833) 477-2677 Get Directions Write a Review

NPPES record last updated: May 28, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 28, 2025, Dec 18, 2018, Jul 10, 2017 (3 updates tracked since 2017).

About Mrs. Monica Lynn Toten Fnp-c NPPES

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

MRS. MONICA LYNN TOTEN FNP-C (NPI 1992227193) is an individual family provider in Rancho Santa Margarita, California, licensed in California (95006699) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Mission Viejo, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1992227193
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. MONICA LYNN TOTENCredential: FNP-C
Location Address22431 ANTONIO PKWY STE B160-613Rancho Santa Margarita, CA 92688-2804
Mailing Address22431 Antonio Pkwy Ste B160-613Rancho Santa Margarita, CA 92688-2804 · (833) 477-2677
Phone(833) 477-2677
Fax(833) 477-2677
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJuly 10, 2017
Last NPPES UpdateMay 28, 20253 updates tracked since enumeration
NPPES CertifiedMay 28, 2025
✔ NPI 1992227193 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 CA · 95006699
22431 ANTONIO PKWY STE B160-613, Rancho Santa Margarita, CA 92688
Open in Google Maps ↗

Other Names 1

Former Name (1)Ms. Monica Lynn Lu Rn

Secondary Practice Location 1

Location 127700 Medical Center RdMission Viejo, CA 92691-6426 · Phone (949) 364-1400

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

Mrs. Monica Lynn Toten Fnp-c 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 ID3173863412
PECOS Enrollment IDI20190322000842
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 Reassignment

Medicare enrollment records show Monica Toten reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Healthcare Service Partners, Inc.
Same address
Surgical
22431 ANTONIO PKWY # B160-613
Rancho Santa Margarita, CA 92688
  • Reassigned Medicare billing, California enrollment
  • 3 clinicians in this Medicare group
NPI 1356889265 (833) 477-2677

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 4

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
32 services23 patients
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.
15 services13 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
14 services12 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.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92688 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

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 Monica Toten's NPI number?

The NPI number for Monica Toten is 1992227193. It was assigned to this individual provider in the NPPES registry on July 10, 2017. The provider is also known as Ms. Monica Lynn Lu Rn.

Where is Monica Toten located?

Monica Toten practices at 22431 Antonio Pkwy Ste B160-613, Rancho Santa Margarita, CA 92688. The listed phone number is (833) 477-2677.

What is Monica Toten's specialty?

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

Is Monica Toten enrolled in Medicare?

Yes. Monica Toten 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 organization bills Medicare for Monica Toten's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Monica Toten reassigns Medicare benefits to Healthcare Service Partners, Inc. (Rancho Santa Margarita, CA). The 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 Monica Toten'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 Monica Toten was last updated on May 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.