JOANNE ROSALYN TOLLERTON (MD) – Family Medicine Physician, NPI 1639174915

JOANNE ROSALYN TOLLERTON (MD) is a healthcare provider. based in Chinle, Arizona. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 78395 (CA). The NPI Number for JOANNE ROSALYN TOLLERTON (MD) is 1639174915

Main info

Female
34 Years Of Experience
Accepts Medicare Assignment
Name
JOANNE ROSALYN TOLLERTON (MD)
NPI
1639174915
Phone
(928) 674-7001
Address
PO BOX PH
Enumeration Date
14 June 2005
Last Update Date
9 September 2022

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA, DAVIS SCHOOL OF MEDICINE
Secondary Phone
92867470307030
Graduation Year
1992 (34 years ago)
PAC ID
2264560796
Group Practice PAC ID
9436062585
Professional Enrollment ID
I20100504000671
Address ID
AZ865038000CHHIGHWRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience82
Completeness75
Years active:20State licenses:3Digital endpointsOther names

2,259 FAMILY PRACTICE in AZ

Provider Addresses for JOANNE ROSALYN TOLLERTON (MD)

  • PO BOX PH

    CHINLE, AZ 865038000

    Phone: (928) 674-7001

    Fax: (928) 674-7008

    Type: Mailing

  • U.S. 191 & HOSPITAL DRIVE

    CHINLE, AZ 865038000

    Phone: (928) 674-7001

    Fax: (928) 674-7008

    Type: Location

  • Native American Rehabilitation Association of the Northwest, 1776, Southwest Madison Street, Goose Hollow, Portland, Metro, Multnomah County, Oregon, 97205, United States

    PORTLAND, OR 972051715

    Phone: (971) 386-2278

    Fax: (503) 224-4494

    Type: Mailing

  • NARA Indian Health Clinic, 15, North Morris Street, Albina, Eliot, Portland, Metro, Multnomah County, Oregon, 97227, United States

    PORTLAND, OR 972271541

    Phone: (503) 230-9875

    Fax: (503) 230-9877

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-05-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100504000671IFamily PracticeTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes7768$0
99213Established patient office or other outpatient visit, 20-29 minutes6253$0
99441Telephone medical discussion with physician, 5-10 minutes4642$0
99442Telephone medical discussion with physician, 11-20 minutes3535$0
View full utilization report →

Insurance plans in this area (ZIP 86503)

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Provider's Procedures

JOANNE ROSALYN TOLLERTON (MD) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEOR81002Urinalysis, manual test1412
FAMILY MEDICINEOR85610Blood test, clotting time2011

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9436062585View full group profile
NameSpecialtyState
Internal MedicineAZ
Certified Nurse Midwife (Cnm)NM
-OK
General SurgeryAZ
O P T O M E T R YAZ
Family PracticeAZ
-DC
-MT
General SurgeryTX
Family PracticeNY

Reviews

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Frequently asked questions

How do payers reference JOANNE ROSALYN TOLLERTON (MD)?
For JOANNE ROSALYN TOLLERTON (MD), use NPI 1639174915 as the unique 10-digit identifier.
Is JOANNE ROSALYN TOLLERTON (MD) shown as active in public data?
Registry records indicate JOANNE ROSALYN TOLLERTON (MD) maintains an active NPI.
What area of care is associated with JOANNE ROSALYN TOLLERTON (MD)?
JOANNE ROSALYN TOLLERTON (MD)'s record emphasizes Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with JOANNE ROSALYN TOLLERTON (MD)?
Directory geography for JOANNE ROSALYN TOLLERTON (MD) centers on Chinle, Arizona.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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