TIFFANY PLUGER PMHNP-BC
NPI 1033574744
Nurse Practitioner - Psychiatric/Mental Health in Wausau, WI

Active since December 22, 2015PECOS EnrolledAccepts Medicare Assignment
2400 MARSHALL ST STE A, WAUSAU, WI 54403(715) 848-4356(715) 845-5398 Get Directions Write a Review

NPPES record last updated: February 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 31, 2021, Jul 1, 2019, Jun 20, 2019 and 1 more (4 updates tracked since 2015).

About Tiffany Pluger Pmhnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIFFANY PLUGER PMHNP-BC (NPI 1033574744) is an individual psychiatric/mental health provider in Wausau, Wisconsin, licensed in Wisconsin (9322) and active in the NPI registry since December 2015. She is enrolled in Medicare PECOS, is affiliated with Aspirus Wausau Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1033574744
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameTIFFANY PLUGERCredential: PMHNP-BC
Location Address2400 MARSHALL ST STE AWausau, WI 54403-6799
Mailing Address1100 Lake View DrWausau, WI 54403-6785 · (715) 848-4454 · Fax (715) 845-5398
Fax(715) 845-5398
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateDecember 22, 2015
Last NPPES UpdateFebruary 19, 20244 updates tracked since enumeration
NPPES CertifiedFebruary 19, 2024
NPI 1033574744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in WI · 9322
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 9322 (WI)
2400 MARSHALL ST STE A, Wausau, WI 54403

Other Names 1

Former Name (1)Tiffany Kuklinski

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Tiffany Pluger Pmhnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7618204934
PECOS Enrollment IDI20190809000548
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
88 services54 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
52 services28 patients
Telehealth originating site facility fee Q3014
The Telehealth originating site facility fee is a charge for the location where you receive your telehealth service, such as a clinic or hospital. It covers costs like equipment use, technical support, and other resources needed to provide a secure, effective telehealth visit.
22 services12 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
14 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Aspirus Wausau Hospital

Acute Care Hospitals · Wausau, WI
4/5 CMS rating
OwnershipProprietary
CMS Certification Number520030
Location333 Pine Ridge BlvdWausau, WI 54401 · Marathon County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54403 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor
2400 MARSHALL ST STE A
WAUSAU, WI 54403
Clinic/Center
2400 MARSHALL ST STE A
WAUSAU, WI 54403
Psychiatry & Neurology (Psychiatry)
2400 MARSHALL ST STE A
WAUSAU, WI 54403
Counselor
2400 MARSHALL ST STE A
WAUSAU, WI 54403
Social Worker
2400 MARSHALL ST STE A
WAUSAU, WI 54403
Counselor
2400 MARSHALL ST STE A
WAUSAU, WI 54403
Clinic/Center (Multi-Specialty)
2400 MARSHALL ST STE A
WAUSAU, WI 54403
Community/Behavioral Health
2400 MARSHALL ST STE A
WAUSAU, WI 54403

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tiffany Pluger's NPI number?

The NPI number for Tiffany Pluger is 1033574744. It was assigned to this individual provider in the NPPES registry on December 22, 2015. The provider is also known as Tiffany Kuklinski.

Where is Tiffany Pluger located?

Tiffany Pluger practices at 2400 Marshall St Ste A, Wausau, WI 54403. The listed phone number is (715) 848-4356.

What is Tiffany Pluger's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Tiffany Pluger enrolled in Medicare?

Yes. Tiffany Pluger is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Tiffany Pluger accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, HealthPartners, Medica and Security Health Plan list Tiffany Pluger as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Tiffany Pluger affiliated with any hospitals?

According to CMS data, Tiffany Pluger is affiliated with Aspirus Wausau Hospital.

When was this NPI record last updated?

The NPPES record for Tiffany Pluger was last updated on February 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.