Toni E Clarke, MSN, APRN, AGNP-C - Medicare Nurse Practitioner in Gallup, NM

Toni E Clarke, MSN, APRN, AGNP-C is a medicare enrolled "Nurse Practitioner - Primary Care" in Gallup, New Mexico. Her current practice location is 3720 Church Rock St, Gallup, New Mexico. You can reach out to her office (for appointments etc.) via phone at (505) 722-2261.

Toni E Clarke is licensed to practice in New Mexico (license number 60963) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1942831987.

Contact Information

Toni E Clarke, MSN, APRN, AGNP-C
3720 Church Rock St,
Gallup, NM 87301-4572
(505) 722-2261
Not Available

Map and Direction




Provider's Profile

Full NameToni E Clarke
GenderFemale
SpecialityNurse Practitioner - Primary Care
Location3720 Church Rock St, Gallup, New Mexico
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1942831987
  • Provider Enumeration Date: 01/29/2020
  • Last Update Date: 06/09/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 7113061987
  • Enrollment ID: I20200729004076

Medical Identifiers

Medical identifiers for Toni E Clarke such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1942831987NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LG0600XNurse Practitioner - Gerontology AP144683 (Texas)Secondary
363LA2200XNurse Practitioner - Adult Health 60963 (New Mexico)Secondary
363LA2200XNurse Practitioner - Adult Health AP144683 (Texas)Secondary
363LG0600XNurse Practitioner - Gerontology 60963 (New Mexico)Secondary
363LP2300XNurse Practitioner - Primary Care 60963 (New Mexico)Primary
363LP2300XNurse Practitioner - Primary Care AP144683 (Texas)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Toni E Clarke allows following entities to bill medicare on her behalf.
Entity NameVpa Of Texas Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679510499
PECOS PAC ID: 7618911660
Enrollment ID: O20050610000702
Entity NameSignify Health Medical Associates Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750845863
PECOS PAC ID: 2163764424
Enrollment ID: O20190520001486

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Toni E Clarke is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Toni E Clarke, MSN, APRN, AGNP-C
Po Box 731,
Gallup, NM 87305-0731

Ph: (832) 449-0333
Toni E Clarke, MSN, APRN, AGNP-C
3720 Church Rock St,
Gallup, NM 87301-4572

Ph: (505) 722-2261

Reviews and Comments


Nurse Practitioner Nurses in Gallup, NM

Mrs. Gail Crawford,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 516 E Nizhoni Blvd, Gallup, NM 87301
Phone: 505-722-1000    
Mrs. Relindis Mana Akwanga, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 610 N Fifth St, Gallup, NM 87301
Phone: 505-863-3120    Fax: 505-863-2961
Donna J Rich, PMHNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2025 E Aztec Ave, Gallup, NM 87301
Phone: 432-888-4130    
Ms. Maria Elena Torres, ARNPC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 516 East Nizhoni Blvd., Gallup, NM 87301
Phone: 505-722-1000    Fax: 505-722-1496
Mrs. Sanaa Baker, FAMILY NURSE PRACTIT
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2111 College Dr, Gallup, NM 87301
Phone: 505-863-1820    
Judy Liesveld, CNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2111 College Dr, Rehoboth Mckinley Christian Health Care Services, Gallup, NM 87301
Phone: 505-863-1820    
Denise Walter, AGACNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 516 E Nizhoni Blvd, Gallup, NM 87301
Phone: 505-722-1000    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.