Tonya Rumbaugh, APRN, FNP-C
NPI 1295446573 · Family Nurse Practitioner · Lawrenceburg, TN
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tonya Rumbaugh, APRN, FNP-C is a Family Nurse Practitioner provider in Lawrenceburg, TN (NPI 1295446573).
Provider details
- NPI number
- 1295446573
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN, FNP-C
- Sex
- Female
- Sole proprietor
- No
- License
- 0000204989 (TN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
3 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
332 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
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 .
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 Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 117 | $70 |
| Detection Test By Immunoassay Technique for Severe Acute Respiratory Syndrome Coronavirus and Influenza87428 | 65 | $68 |
| Detection Test By Immunoassay With Direct Visual Observation for Streptococcus, Group a (strep)87880 | 59 | $16 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 44 | $101 |
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 26 | $9 |
| Automated Urinalysis Test81003 | 21 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 39 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Levocetirizine Dihydrochloride | 97 | 61 |
| Atorvastatin Calcium | 96 | 33 |
| Levothyroxine Sodium | 60 | 15 |
| Lisinopril | 55 | 18 |
| Metformin Hcl | 48 | 12 |
| Azithromycin | 45 | 42 |
| Omeprazole | 43 | 18 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$19 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 1009 Smith AveLawrenceburg, TN 38464-2570Phone: (931) 629-0864
Registry dates
- Enumerated
- 2022-12-08
- Last updated
- 2026-05-12
- Certified
- 2026-05-12
Frequently asked questions
- What is Tonya Rumbaugh's NPI number?
- Tonya Rumbaugh's National Provider Identifier (NPI) is 1295446573, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tonya Rumbaugh's specialty?
- Tonya Rumbaugh is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Tonya Rumbaugh located?
- Tonya Rumbaugh's practice location on file with NPPES is 2019 N Locust Ave, Lawrenceburg, TN 38464-2337.
- What is Tonya Rumbaugh's phone number?
- The practice phone number listed in the NPPES registry for Tonya Rumbaugh is (931) 762-1800.
- Does Tonya Rumbaugh accept Medicare?
- Tonya Rumbaugh is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Tonya Rumbaugh's NPI active?
- Yes — Tonya Rumbaugh's NPI (1295446573) is active in the NPPES registry as of the last update on 2026-05-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.