TIFFANY HAWTHORNE
NPI 1063231900
Nurse Practitioner - Psychiatric/Mental Health in Chicago, IL

Active since October 08, 2024PECOS EnrolledAccepts Medicare Assignment
9025 S MARSHFIELD AVE, CHICAGO, IL 60620(773) 654-8112 Get Directions Write a Review

NPPES record last updated: March 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 7, 2025, Oct 8, 2024 (2 updates tracked since 2024).

About Tiffany Hawthorne NPPES

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

TIFFANY HAWTHORNE (NPI 1063231900) is an individual psychiatric/mental health provider in Chicago, Illinois, licensed in Illinois (209.030813) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1063231900
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameTIFFANY HAWTHORNE
Location Address9025 S MARSHFIELD AVEChicago, IL 60620-5546
Mailing Address9025 S Marshfield AveChicago, IL 60620-5546 · (773) 654-8112
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateOctober 8, 2024
Last NPPES UpdateMarch 7, 20252 updates tracked since enumeration
NPPES CertifiedMarch 7, 2025
NPI 1063231900 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 IL · 209.030813
Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License 041478292 (IL)
9025 S MARSHFIELD AVE, Chicago, IL 60620

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 Hawthorne 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 ID840710323
PECOS Enrollment IDI20260223002254
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60620 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

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 Hawthorne's NPI number?

The NPI number for Tiffany Hawthorne is 1063231900. It was assigned to this individual provider in the NPPES registry on October 8, 2024.

Where is Tiffany Hawthorne located?

Tiffany Hawthorne practices at 9025 S Marshfield Ave, Chicago, IL 60620. The listed phone number is (773) 654-8112.

What is Tiffany Hawthorne's specialty?

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

Is Tiffany Hawthorne enrolled in Medicare?

Yes. Tiffany Hawthorne 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.

When was this NPI record last updated?

The NPPES record for Tiffany Hawthorne was last updated on March 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.