Danielle Toal, DNP, APRN, FNP-C
NPI 1346781069ActiveIndividual· Nurse Practitioner, Primary Care· Cape Girardeau, MO
Nurse Practitioner, Primary Care (DNP, APRN, FNP-C) in Cape Girardeau, Missouri, trained at University of Missouri, Columbia School of Medicine (class of 2016). Their prescriptions cost Medicare Part D more than their services did: $819,145 for 1,058 claims, against $183,246 paid for services in 2024. Janssen Biotech, Inc. was the largest of 18 companies reporting payments in 2025, $3,034 in all, mostly food and beverage.
Overview
| NPI | 1346781069 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DNP, APRN, FNP-C |
| Sole proprietor | No |
| NPI issued | Mar 14, 2017 |
| Last updated in NPPES | Mar 14, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Primary Care Primary | 363LP2300X | F06161113 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (MO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 703 |
|---|---|
| Services billed | 5,814 across 55 procedure codes |
| Paid by Medicare | $183,246 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,058 · 1,190 30-day fills |
|---|---|
| Patients | 404 |
| Total drug cost | $819,145 |
| Generic share | 90% of claims |
Education and affiliations
| Medical school | University of Missouri, Columbia School of Medicine |
|---|---|
| Graduation year | 2016 |
| Medicare specialty | Nurse Practitioner |
Medical group
- Advanced Dermatology of Southeast Missouri PCCape Girardeau, MO · 9 clinicians
Hospital affiliations
- Mercy Hospital PerryPerryville, MO
- Mercy Hospital SoutheastCape Girardeau, MO
- Saint Francis Medical CenterCape Girardeau, MO
Industry payments (Open Payments)
- 2025$3,034 · 123 payments from 18 companies
- 2024$3,230 · 138 payments from 19 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Janssen Biotech, Inc. | $532.01 | 20 |
| Abbvie Inc. | $529.66 | 26 |
| Ucb, Inc. | $397.14 | 10 |
| Novartis Pharmaceuticals Corporation | $278.56 | 11 |
| Regeneron Healthcare Solutions, Inc. | $244.97 | 4 |
What the 2025 payments were for
- Food and Beverage$2,934 · 122 payments
- Education$99.99 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other primary care nurse practitioners in Cape Girardeau
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