TIFFANY LYNN LAUGHLIN APNP
NPI 1316222771
Nurse Practitioner - Family in Green Bay, WI

Active since October 18, 2011PECOS EnrolledAccepts Medicare Assignment
94.61/100
CMS Quality Rating
1860 SHAWANO AVE, GREEN BAY, WI 54303(209) 496-4700 Get Directions Write a Review

NPPES record last updated: September 16, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 16, 2024, Aug 23, 2024, Sep 15, 2016 (3 updates tracked since 2016).

About Tiffany Lynn Laughlin Apnp NPPES

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

TIFFANY LYNN LAUGHLIN APNP (NPI 1316222771) is an individual family provider in Green Bay, Wisconsin, licensed in Wisconsin (4652-33) and active in the NPI registry since October 2011. She is enrolled in Medicare PECOS, is affiliated with St Vincent Hospital, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1316222771
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTIFFANY LYNN LAUGHLINCredential: APNP
Location Address1860 SHAWANO AVEGreen Bay, WI 54303-2667
Mailing Address2609 Country Meadow CtSuamico, WI 54313-8163 · (920) 606-2697
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateOctober 18, 2011
Last NPPES UpdateSeptember 16, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2024
✔ NPI 1316222771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in WI · 4652-33
Also ListedNurse PractitionerTaxonomy 363L00000X · License 4652-033 (WI)
1860 SHAWANO AVE, Green Bay, WI 54303

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tiffany Lynn Laughlin Apnp 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 ID5597939124
PECOS Enrollment IDI20111117000136
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Tiffany Laughlin reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
2015 SHAWANO AVE
Green Bay, WI 54303
  • Reassigned Medicare billing, Wisconsin enrollment
  • 875 clinicians in this Medicare group
General Practice
2710 EXECUTIVE DR
Green Bay, WI 54304
  • Reassigned Medicare billing, Wisconsin enrollment
  • 742 clinicians in this Medicare group
Internal Medicine
2710 EXECUTIVE DR
Green Bay, WI 54304
  • Reassigned Medicare billing, Wisconsin enrollment
  • 190 clinicians in this Medicare group
Rural Health
107 E HIGHLAND DR
Oconto Falls, WI 54154
  • Reassigned Medicare billing, Wisconsin enrollment
  • 573 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

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

St Vincent Hospital

Acute Care Hospitals · Green Bay, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520075
Location835 S Van Buren StGreen Bay, WI 54301 · Brown County
Emergency services Birthing friendly

St Mary's Hospital Medical Center

Acute Care Hospitals · Green Bay, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number520097
Location1726 Shawano AveGreen Bay, WI 54303 · Brown County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54303 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.17
Promoting Interoperability100
Improvement Activities40

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.

Audiologist
1860 SHAWANO AVE
GREEN BAY, WI 54303
Nurse Practitioner (Family)
1860 SHAWANO AVE
GREEN BAY, WI 54303
Audiologist
1860 SHAWANO AVE
GREEN BAY, WI 54303
Nurse Practitioner (Family)
1860 SHAWANO AVE
GREEN BAY, WI 54303
Internal Medicine (Infectious Disease)
1860 SHAWANO AVE
GREEN BAY, WI 54303
Internal Medicine (Gastroenterology)
1860 SHAWANO AVE
GREEN BAY, WI 54303
Otolaryngology
1860 SHAWANO AVE
GREEN BAY, WI 54303
Nurse Practitioner (Family)
1860 SHAWANO AVE
GREEN BAY, WI 54303

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 Laughlin's NPI number?

The NPI number for Tiffany Laughlin is 1316222771. It was assigned to this individual provider in the NPPES registry on October 18, 2011.

Where is Tiffany Laughlin located?

Tiffany Laughlin practices at 1860 Shawano Ave, Green Bay, WI 54303. The listed phone number is (209) 496-4700.

What is Tiffany Laughlin's specialty?

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

Is Tiffany Laughlin enrolled in Medicare?

Yes. Tiffany Laughlin 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.

Which organizations bill Medicare for Tiffany Laughlin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tiffany Laughlin reassigns Medicare benefits to 4 organizations: Bellin Memorial Hospital Inc (Green Bay, WI), St Vincent Hospital-Hospital Sisters-Third Order Of St Francis (Green Bay, WI), Prevea Clinic, Inc. (Green Bay, WI) and Oconto Hospital & Medical Center, Inc. (Oconto Falls, WI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tiffany Laughlin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tiffany Laughlin accept?

Health plans from Anthem Blue Cross and Blue Shield, Dean Health Plan, Network Health and Security Health Plan list Tiffany Laughlin 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 Laughlin affiliated with any hospitals?

According to CMS data, Tiffany Laughlin is affiliated with St Vincent Hospital and St Mary's Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Tiffany Laughlin was last updated on September 16, 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.