TIFFANY BRACKUS FNP
NPI 1194336339
Nurse Practitioner - Family in Nampa, ID

Active since August 12, 2020PECOS EnrolledAccepts Medicare Assignment
207 1ST ST S, NAMPA, ID 83651(208) 466-7869(208) 466-0009 Get Directions Write a Review

NPPES record last updated: August 28, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 28, 2023, Nov 3, 2020, Aug 12, 2020 (3 updates tracked since 2020).

About Tiffany Brackus Fnp NPPES

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

TIFFANY BRACKUS FNP (NPI 1194336339) is an individual family provider in Nampa, Idaho, licensed in Oregon (202009819NP-PP) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS, is affiliated with Saint Alphonsus Medical Center - Nampa, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1194336339
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTIFFANY BRACKUSCredential: FNP
Location Address207 1ST ST SNampa, ID 83651-3703
Mailing AddressPo Box 9Nampa, ID 83653-0009 · (208) 461-7149 · Fax (208) 467-3391
Fax(208) 466-0009
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 12, 2020
Last NPPES UpdateAugust 28, 20233 updates tracked since enumeration
NPPES CertifiedAugust 28, 2023
NPI 1194336339 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in OR · 202009819NP-PP Licensed in ID · TEMP65467
207 1ST ST S, Nampa, ID 83651

Secondary Practice Locations 2

Location 1790 E 5th StCoquille, OR 97423-1755 · Phone (541) 396-3111 · Fax (541) 396-5891
Location 2223 16th Ave NNampa, ID 83687-4058 · Phone (208) 467-7654 · Fax (208) 466-5359

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 Brackus Fnp 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 ID6204249790
PECOS Enrollment IDI20201229003175, I20220607001340
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.

Hospital Affiliations CMS Care Compare

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

Saint Alphonsus Medical Center - Nampa

Acute Care Hospitals · Nampa, ID
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number130013
Location4300 E Flamingo AveNampa, ID 83687 · Canyon County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83651 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Humidifier, heated, used with positive airway pressure device E0562
DME-Other DME · category DE001N
1 supplier17 claims17 services$17.40 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers22 claims22 services$51.36 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Family Medicine
207 1ST ST S
NAMPA, ID 83651
Nurse Practitioner (Family)
207 1ST ST S
NAMPA, ID 83651
Nurse Practitioner (Family)
207 1ST ST S
NAMPA, ID 83651
Family Medicine
207 1ST ST S
NAMPA, ID 83651
Clinic/Center (Federally Qualified Health Center (FQHC))
207 1ST ST S
NAMPA, ID 83651
Dietitian, Registered
207 1ST ST S
NAMPA, ID 83651
Nurse Practitioner
207 1ST ST S
NAMPA, ID 83651
Dentist (General Practice)
207 1ST ST S
NAMPA, ID 83651

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 Brackus's NPI number?

The NPI number for Tiffany Brackus is 1194336339. It was assigned to this individual provider in the NPPES registry on August 12, 2020.

Where is Tiffany Brackus located?

Tiffany Brackus practices at 207 1st St S, Nampa, ID 83651. The listed phone number is (208) 466-7869.

What is Tiffany Brackus's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Tiffany Brackus enrolled in Medicare?

Yes. Tiffany Brackus 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 Brackus accept?

Health plans from Moda Health Plan, Inc. and Providence Health Plan list Tiffany Brackus 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 Brackus affiliated with any hospitals?

According to CMS data, Tiffany Brackus is affiliated with Saint Alphonsus Medical Center - Nampa.

When was this NPI record last updated?

The NPPES record for Tiffany Brackus was last updated on August 28, 2023. 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.