TONI RENEE GAULTIER (N.P.) – Nurse Practitioner, NPI 1467445619

TONI RENEE GAULTIER (N.P.) is a healthcare provider. based in Traverse city, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials N.P.. They hold a License No. TG127054 (MI). The NPI Number for TONI RENEE GAULTIER (N.P.) is 1467445619

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
TONI RENEE GAULTIER (N.P.)
NPI
1467445619
Phone
(231) 935-2400
Address
1221 6TH ST
Enumeration Date
23 August 2005
Last Update Date
7 May 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2313464000
Graduation Year
2000 (26 years ago)
PAC ID
4385722289
Group Practice PAC ID
3072426287
Professional Enrollment ID
I20080417000249
Address ID
MI496842287TR701XXSTXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

8,105 NURSE PRACTITIONER in MI

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Provider Addresses for TONI RENEE GAULTIER (N.P.)

  • 6th Street, Fife Lake, Fife Lake Township, Grand Traverse County, Michigan, United States

    SUITE 306

    TRAVERSE CITY, MI 496842359

    Phone: (231) 935-2400

    Fax: (231) 935-2424

    Mailing address matches the actual address.

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: 2008-04-17

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
I20080417000249INurse PractitionerMITBD

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
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes1615$0
View full utilization report →

Insurance plans in this area (ZIP 49684)

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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: 3072426287View full group profile

Reviews

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Frequently asked questions

Can I use this page to confirm TONI RENEE GAULTIER (N.P.)'s NPI?
Yes. TONI RENEE GAULTIER (N.P.) is listed with NPI 1467445619 in the public NPI dataset.
Does CMS list TONI RENEE GAULTIER (N.P.) as active?
Yes — TONI RENEE GAULTIER (N.P.) is active in the NPI listing used on this page.
What is TONI RENEE GAULTIER (N.P.)'s specialty?
The listing groups TONI RENEE GAULTIER (N.P.) with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What address line appears for TONI RENEE GAULTIER (N.P.)?
TONI RENEE GAULTIER (N.P.)'s geographic hint is Traverse City, Michigan in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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