Toni Sue Baldwin-Dufour, APRN
NPI 1255343349ActiveIndividual· Nurse Practitioner, Family· Swansea, IL
Nurse Practitioner, Family (APRN) with Fairview Heights Medical Group SC, practicing in Swansea, Illinois. In 2024 Medicare paid $16,923 for 165 patients, and Part D covered 396 of their prescriptions, 88% of them generic.
Overview
| NPI | 1255343349 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | APRN |
| Sole proprietor | No |
| NPI issued | Aug 13, 2006 |
| Last updated in NPPES | Sep 18, 2025 |
| Certified by provider | Sep 18, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | APRN9318582 | FL |
| Nurse Practitioner, Family | 363LF0000X | ARNP9318582 | FL |
| Nurse Practitioner | 363L00000X | 2090280069 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (FL); Practitioner - Nurse Practitioner (IL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 165 |
|---|---|
| Services billed | 380 across 40 procedure codes |
| Paid by Medicare | $16,923 |
Part D prescriptions in 2024
| Prescriptions (claims) | 396 · 401 30-day fills |
|---|---|
| Patients | 236 |
| Total drug cost | $3,476 |
| Generic share | 88% of claims |
Education and affiliations
| Graduation year | 2010 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Fairview Heights Medical Group SCAlton, IL · 444 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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