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TIFFANY HARTMAN
NPI 1194608927
Nurse Practitioner in Bourbonnais, IL

Active since July 29, 2025PECOS EnrolledAccepts Medicare Assignment
6712 N CONVENT ST, BOURBONNAIS, IL 60914(815) 928-8050(815) 928-8932 Get Directions Write a Review

NPPES record last updated: July 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tiffany Hartman NPPES

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

TIFFANY HARTMAN (NPI 1194608927) is an individual nurse practitioner in Bourbonnais, Illinois, licensed in Illinois (041-402210) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS, is affiliated with Presence St Marys Hospital, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1194608927
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameTIFFANY HARTMAN
Location Address6712 N CONVENT STBourbonnais, IL 60914-1528
Mailing Address900 Rand Rd Ste 300Des Plaines, IL 60016-2359 · (847) 324-3976 · Fax (847) 929-1154
Phone(815) 928-8050
Fax(815) 928-8932
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJuly 29, 2025
NPPES CertifiedJuly 29, 2025
✔ NPI 1194608927 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IL · 041-402210
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
6712 N CONVENT ST, Bourbonnais, IL 60914
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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 Hartman 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 ID9436649977
PECOS Enrollment IDI20251104002796
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 2

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

Presence St Marys Hospital

Acute Care Hospitals · Kankakee, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140155
Location500 W Court StKankakee, IL 60901 · Kankakee County
Emergency services Birthing friendly

Silver Cross Hospital And Medical Centers

Acute Care Hospitals · New Lenox, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140213
Location1900 Silver Cross BlvdNew Lenox, IL 60451 · Will County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60914 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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 17

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

WILLIAM MOSENTHAL M.D.
Orthopaedic Surgery
6712 N CONVENT ST
BOURBONNAIS, IL 60914
Kankakee County (815) 928-8050
VISHAL DESAI MD
Orthopaedic Surgery
6712 N CONVENT ST
BOURBONNAIS, IL 60914
Kankakee County (815) 928-8050
ILLINOIS BONE AND JOINT INSTITUTE, LLC
Orthopaedic Surgery
6712 N CONVENT ST
BOURBONNAIS, IL 60914
Kankakee County (815) 928-8050
AUSTIN CHINN
Podiatrist
6712 N CONVENT ST
BOURBONNAIS, IL 60914
Kankakee County (815) 928-8050
MOLLY HARTIG
Physician Assistant
6712 N CONVENT ST
BOURBONNAIS, IL 60914
Kankakee County (815) 928-8050
KELLY CUNNINGHAM
Physical Therapy Assistant
6712 N CONVENT ST
BOURBONNAIS, IL 60914
Kankakee County (815) 295-8300
MARGARET DENNY PA-C
Physician Assistant
6712 N CONVENT ST
BOURBONNAIS, IL 60914
Kankakee County (815) 928-8050
LEA GINDVILLE
Physician Assistant
6712 N CONVENT ST
BOURBONNAIS, IL 60914
Kankakee County (815) 928-8050

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 Hartman's NPI number?

The NPI number for Tiffany Hartman is 1194608927. It was assigned to this individual provider in the NPPES registry on July 29, 2025.

Where is Tiffany Hartman located?

Tiffany Hartman practices at 6712 N Convent St, Bourbonnais, IL 60914. The listed phone number is (815) 928-8050.

What is Tiffany Hartman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Tiffany Hartman enrolled in Medicare?

Yes. Tiffany Hartman 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.

Is Tiffany Hartman affiliated with any hospitals?

According to CMS data, Tiffany Hartman is affiliated with Presence St Marys Hospital and Silver Cross Hospital And Medical Centers.

When was this NPI record last updated?

The NPPES record for Tiffany Hartman was last updated on July 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.