TONI D MCDOUGALD (MSN, WHNP-BC) – Women's Health Nurse Practitioner, NPI 1396097622

TONI D MCDOUGALD (MSN, WHNP-BC) is a healthcare provider. based in Wadsworth, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials MSN, WHNP-BC. They hold a License No. COA.13921-NP (OH). The NPI Number for TONI D MCDOUGALD (MSN, WHNP-BC) is 1396097622

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
TONI D MCDOUGALD (MSN, WHNP-BC)
NPI
1396097622
Phone
Not provided
Address
1392 HIGH ST
Enumeration Date
10 October 2012
Last Update Date
22 August 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2164448530
Graduation Year
2012 (14 years ago)
PAC ID
3476806068
Group Practice PAC ID
1850203555
Professional Enrollment ID
I20181029002308
Address ID
OH441950001CL9500XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

Provider Addresses for TONI D MCDOUGALD (MSN, WHNP-BC)

  • 1392 HIGH ST

    SUITE 210

    WADSWORTH, OH 442818257

    Phone:

    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)

CMS reports 9 Open Payments records for all available years, with a total value of $145.

Total Amount is formed as General ($145) + Research ($0) + Ownership ($0) = $145.

Last reported payment date: 2023-08-10 • Largest payer in this snapshot: Sumitomo Pharma America, Inc. ($145).

Total Amount

$145

General + Research + Ownership

Payments

9

Total payment records

General Amount

$145

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-10

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2018-10-29

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
I20181029002308INurse PractitionerOHTBD

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.

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

Insurance plans in this area (ZIP 44281)

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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: 1850203555View full group profile
NameSpecialtyState
-NV
Nephrology, Internal MedicineOH
-OH
-MI
Nurse PractitionerOH
General Surgery, Anesthesiology, Critical Care (Intensivists)OH
Certified Registered Nurse Anesthetist (Crna)OH
-OH
-MN
Nurse PractitionerOH

Reviews

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Frequently asked questions

What unique ID ties claims to TONI D MCDOUGALD (MSN, WHNP-BC)?
NPI 1396097622 is assigned to TONI D MCDOUGALD (MSN, WHNP-BC) under the national enumeration system.
Does this profile mean TONI D MCDOUGALD (MSN, WHNP-BC) is currently active?
Yes — TONI D MCDOUGALD (MSN, WHNP-BC) appears active in the national provider directory.
What does TONI D MCDOUGALD (MSN, WHNP-BC) treat or focus on?
Patients typically see TONI D MCDOUGALD (MSN, WHNP-BC) under the specialty Women's Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where does public data place TONI D MCDOUGALD (MSN, WHNP-BC)?
The snapshot lists Wadsworth, Ohio for TONI D MCDOUGALD (MSN, WHNP-BC); download NPPES for the complete set.
How can I contact TONI D MCDOUGALD (MSN, WHNP-BC)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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