TONYA SUE WHITE (NP-C) – Nurse Practitioner, NPI 1073976700

Nurse Practitioner

TONYA SUE WHITE (NP-C) is a healthcare provider. based in Sullivan, Illinois. specializing in Nurse Practitioner. They hold the professional credentials NP-C. They hold a License No. 209014037 (IL). The NPI Number for TONYA SUE WHITE (NP-C) is 1073976700

Main info

Female

11 Years Of Experience

Accepts Medicare Assignment

Name

TONYA SUE WHITE (NP-C)

NPI

1073976700

Phone

(217) 619-2730

Address

625 SUNRISE DR

Enumeration Date

31 March 2016

Last Update Date

9 October 2024

Doctor Profile

Medical School Name

OTHER

Secondary Phone

2178765320

Graduation Year

2015 (11 years ago)

PAC ID

0749579522

Group Practice PAC ID

6204731144

Professional Enrollment ID

I20160518000343

Contacts

Secure Messaging

tonya.white@va.gov

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience44

Completeness85

Years active:10State licenses:1Other namesUpdated within 12 months

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Provider Addresses for TONYA SUE WHITE (NP-C)

625, Sunrise Drive, Sullivan, Moultrie County, Illinois, 61951, United States
SULLIVAN, IL 619512354
Phone: (217) 619-2730
Type: Mailing
3131, North Water Street, Decatur, Macon County, Illinois, 62526, United States
DECATUR, IL 625262472
Phone: (217) 876-5320
Type: Location
501 LAKE LAND BLVD
MATTOON, IL 619385283
Phone: (121) 761-9273
Type: Mailing

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: 2024-11-25

PECOS data refreshed: 2026-05-27

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 61951)

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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: 6204731144View full group profile

Name	Specialty	State
DR. STEPHEN R GOETTER (M.D.)	-	IL
DR. RANJODH SINGH (MD)	General Surgery, Colorectal Surgery (Proctology)	IL
DR. RITA MUKERJI (MD)	Cardiovascular Disease (Cardiology), Internal Medicine, Interventional Cardiology	MO
KIMBERLY A KISH (APN, CNP)	Nurse Practitioner	IL
DAVID W BAUMBERGER (M.D.)	-	IL
DR. BETHANY T GIBSON (M.D.)	-	IL
DR. BETHANY MORGAN GEBUR (DMSC, MPAS, PA-C)	Physician Assistant	IL
Unknown Individual	-	IL
TIMOTHY S BAILEY (M.D.)	-	IL
DR. MICHAEL M WALL (M.D.)	Internal Medicine	IL

Reviews

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Frequently asked questions

Can I verify TONYA SUE WHITE (NP-C) with an NPI only?

You can start verification with NPI 1073976700 for TONYA SUE WHITE (NP-C), then check state licensing separately.

Can I rely on TONYA SUE WHITE (NP-C) being an active provider?

As of the registry snapshot, TONYA SUE WHITE (NP-C) is marked active.

What taxonomy line describes TONYA SUE WHITE (NP-C)?

For research purposes, treat TONYA SUE WHITE (NP-C) as Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.

What address line appears for TONYA SUE WHITE (NP-C)?

TONYA SUE WHITE (NP-C)'s geographic hint is Sullivan, Illinois in our summary view.

How many locations tie to this NPI?

4 practice locations appear in the available data.