Provider profile

Toni Baldwin-DufourAPRN

Nurse Practitioner, Family

2 locationsNPI 1255343349
4000 N Illinois Ln, Swansea, IL 62226618-257-6380

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Medicare Advantage plans for St. Clair County, IL and Alachua County, FL.

Use the name or plan ID on your member card, or choose your insurance company.

Directory results See what each insurance company reports

Listed on 25 plans so far

Some of Humana, UnitedHealthcare, Molina Healthcare of Illinois, Aetna Medicare, Devoted, Essence Healthcare, Florida Blue, Florida Complete Care, HealthSpring and Wellcare's 2027 plans in St. Clair County, IL and Alachua County, FL haven't been checked yet.

The 80 Medicare Advantage plans we show for St. Clair County, IL and Alachua County, FL in 2027

  • 25 list Toni
  • 23 not listed
  • 32 not checked yet

Humana

18 plans list Toni; not listed on 1 other plan.

18plans
  • Humana Essentials Plus Giveback (HMO)

    Source: Humana provider directory.

    Listed offices for this plan:

    • 4000 N Illinois Ln, Swansea, IL, 62226

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage4.5 starsH0028-065-000Medicare.gov
    $0a month
  • Humana Essentials Plus Giveback (HMO)

    Source: Humana provider directory.

    Listed offices for this plan:

    • 4000 N Illinois Ln, Swansea, IL, 62226

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage4.5 starsH4461-045-000Medicare.gov
    $0a month
  • Humana Full Access (PPO)

    Source: Humana provider directory.

    Listed offices for this plan:

    • 4000 N Illinois Ln, Swansea, IL, 62226

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4 starsH5216-407-000Medicare.gov
    $0a month
  • Humana Full Access (PPO)

    Source: Humana provider directory.

    Listed offices for this plan:

    • 4000 N Illinois Ln, Swansea, IL, 62226

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4.5 starsH7617-008-000Medicare.gov
    $0a month

19 more Humana plans haven't been checked yet.

UnitedHealthcare

6 plans list Toni.

6plans
  • AARP Medicare Advantage CareFlex from UHC ST-6 (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 4000 N Illinois Ln, Swansea, IL, 62226

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverage3.5 starsH2802-073-000Medicare.gov
    $0a month
  • AARP Medicare Advantage Essentials from UHC ST-3 (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 4000 N Illinois Ln, Swansea, IL, 62226

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverage3.5 starsH2802-028-000Medicare.gov
    $0a month
  • AARP Medicare Advantage Patriot No Rx MO-MA01 (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 4000 N Illinois Ln, Swansea, IL, 62226

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSNo drug coverage3.5 starsH2802-050-000Medicare.gov
    $0a month
  • AARP Medicare Advantage Extras from UHC ST-4 (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 4000 N Illinois Ln, Swansea, IL, 62226

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverage3.5 starsH2802-052-000Medicare.gov
    $19a month

10 more UnitedHealthcare plans haven't been checked yet.

Molina Healthcare of Illinois

1 plan lists Toni.

1plan
  • Molina Medicare Complete Care Plus (HMO D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 163 E Bethalto Dr, Bethalto, IL, 62010

    This result applies to these offices. Other locations are not confirmed.

    HMOFor people with Medicare and MedicaidDrug coverageH3093-002-000Medicare.gov
    $0a month

Aetna Medicare · Aetna Medicare FIDE

Not listed on its 6 plans here. That isn't proof they're out of network.

Devoted

Not listed on its 6 plans here. That isn't proof they're out of network.

Essence Healthcare

Not listed on its 5 plans here. That isn't proof they're out of network.

Florida Blue

Not checked yet.

Florida Complete Care

Not checked yet.

HealthSpring

Not listed on its 1 plan here. That isn't proof they're out of network.

Wellcare

Not listed on its 4 plans here. That isn't proof they're out of network.

Premiums are each plan's own monthly premium, as filed with Medicare. You keep paying your Medicare Part B premium.

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Original Medicare status

Most Medicare Supplement (Medigap) policies have no provider network: they help pay Original Medicare's cost sharing where Medicare is accepted. Medicare SELECT policies can require network providers for full benefits. Ask the office whether they accept Medicare.

Medicare enrollment and assignment have not been verified here. Advantage directory results do not answer this question.

No opt-out record in this CMS file. CMS's file covers data through 2026-08-31. This does not establish Medicare enrollment, assignment, or whether the office accepts new Medicare patients.

CMS opt-out source · Data through 2026-08-31 · Reviewed Oct 25, 2026

Compare Supplement plans

2 practice locations

4000 N Illinois Ln
Swansea, IL 62226

NPI Registry

4343 W Newberry Rd
Gainesville, FL 32607

NPI Registry
NPI issued
2006
Registry record updated
Sep 18, 2025

Medicare's clinician details aren't available on this page yet.

Common questions

Which 2027 Medicare Advantage plans list Toni Baldwin-Dufour?

In St. Clair County, IL and Alachua County, FL, 25 Medicare Advantage plans for 2027 list Toni in provider data from Medicare.gov or the carrier, including Humana Essentials Plus Giveback (HMO) and Humana Full Access (PPO). CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Networks can change during the year, so confirm with the office or the plan before you enroll.

Where does Toni Baldwin-Dufour practice?

2 locations, including 4000 N Illinois Ln, Swansea, IL. All of them are listed on this page.

How do I confirm Toni is in my plan's network?

Call the member services number on your plan card and give them the NPI 1255343349, or ask a Silverpath advisor to check for you. It's free.

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Talk to a licensed advisor

A Silverpath advisor can confirm Toni's networks with the carrier and help you compare plans that include them.

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Is this your practice?

Patients can use Silverpath to find practices and check plan networks in St. Clair County, IL and Alachua County, FL. Tell us which plans you take, or want to take, and we'll keep this page accurate and talk with you about reaching more Medicare patients and carriers.

Sources. Name, specialty and locations: the CMS NPI Registry (record updated 2025-09-18). Plan networks: carrier provider directories and Medicare.gov provider data, checked Oct 24, 2026. CMS matches apply to the covered offices shown with each plan. Plans: CMS 2027 Medicare Advantage landscape.

Networks change during the year, and a directory can be out of date. Confirm with the provider's office and the plan before you enroll or schedule care.

Silverpath is a licensed insurance agency. This page isn't affiliated with or endorsed by Toni Baldwin-Dufour or their practice. Not connected with or endorsed by the U.S. government or the federal Medicare program.

We do not offer every plan available in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options.

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