Toni Baldwin-Dufour, APRN
NPI 1255343349 · Family Nurse Practitioner · Swansea, IL
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Toni Baldwin-Dufour, APRN is a Family Nurse Practitioner provider in Swansea, IL (NPI 1255343349).
Provider details
- NPI number
- 1255343349
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- No
- License
- ARNP9318582 (FL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
298 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 60 | $107 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 56 | $141 |
| Detection Test By Immunoassay With Direct Visual Observation for Influenza Virus87804 | 44 | $16 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 32 | $76 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 28 | $94 |
| Automated Urinalysis Test81003 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 9 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Prednisone | 88 | 86 |
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 52 | 51 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 39 | 38 |
| Ciprofloxacin Hcl | 23 | 22 |
| Doxycycline Hyclate | 14 | 14 |
| Nitrofurantoin Monohyd/M-Crystbrand: Nitrofurantoin Mono-Macro | 14 | 14 |
| Cephalexin |
Practice location
Mailing address
Additional practice locations (1)
- 4343 W Newberry RdGainesville, FL 32607-2817Phone: (352) 416-1082Fax: (352) 373-6144
Registry dates
- Enumerated
- 2006-08-13
- Last updated
- 2025-09-18
- Certified
- 2025-09-18
Frequently asked questions
- What is Toni Baldwin-Dufour's NPI number?
- Toni Baldwin-Dufour's National Provider Identifier (NPI) is 1255343349, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Toni Baldwin-Dufour's specialty?
- Toni Baldwin-Dufour is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Toni Baldwin-Dufour located?
- Toni Baldwin-Dufour's practice location on file with NPPES is 4000 N Illinois Ln, Swansea, IL 62226-1969.
- What is Toni Baldwin-Dufour's phone number?
- The practice phone number listed in the NPPES registry for Toni Baldwin-Dufour is (618) 257-6380.
- Does Toni Baldwin-Dufour accept Medicare?
- Toni Baldwin-Dufour is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Toni Baldwin-Dufour's NPI active?
- Yes — Toni Baldwin-Dufour's NPI (1255343349) is active in the NPPES registry as of the last update on 2025-09-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.