Toni M Mcfadden, CNP - Medicare Nurse Practitioner in Santa Rosa, CA

Toni M Mcfadden, CNP is a medicare enrolled "Nurse Practitioner - Adult Health" in Santa Rosa, California. She graduated from nursing school in 2003 and has 21 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Providence Medical Foundation and her current practice location is 3536 Mendocino Ave Ste 200, Santa Rosa, California. You can reach out to her office (for appointments etc.) via phone at (707) 573-6166.

Toni M Mcfadden is licensed to practice in California (license number 16959) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1205859311.

Contact Information

Toni M Mcfadden, CNP
3536 Mendocino Ave Ste 200,
Santa Rosa, CA 95403-3634
(707) 573-6166
(707) 573-6165

Map and Direction




Provider's Profile

Full NameToni M Mcfadden
GenderFemale
SpecialityNurse Practitioner
Experience21 Years
Location3536 Mendocino Ave Ste 200, Santa Rosa, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Toni M Mcfadden graduated from nursing school in 2003
  NPI Data:
  • NPI Number: 1205859311
  • Provider Enumeration Date: 07/26/2006
  • Last Update Date: 11/08/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 3274523238
  • Enrollment ID: I20190710001880

Medical Identifiers

Medical identifiers for Toni M Mcfadden such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205859311NPI-NPPES
45259330MedicaidNM

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2100XNurse Practitioner - Acute Care R37008 (New Mexico)Secondary
363LC0200XNurse Practitioner - Critical Care Medicine R37008 (New Mexico)Secondary
363LA2200XNurse Practitioner - Adult Health 16959 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Santa Rosa Memorial HospitalSanta rosa, CAHospital
Adventist Health Howard MemorialWillits, CAHospital
Healdsburg District HospitalHealdsburg, CAHospital
Mendocino Coast District HospitalFort bragg, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Providence Medical Foundation89219932051312

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 M Mcfadden allows following entities to bill medicare on her behalf.
Entity NameProvidence Medical Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285890624
PECOS PAC ID: 8921993205
Enrollment ID: O20040216001346

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 M Mcfadden 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 M Mcfadden, CNP
3536 Mendocino Ave Ste 200,
Santa Rosa, CA 95403-3634

Ph: (707) 525-6485
Toni M Mcfadden, CNP
3536 Mendocino Ave Ste 200,
Santa Rosa, CA 95403-3634

Ph: (707) 573-6166

Reviews and Comments


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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.