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TIFFANNY M CONNOLLY PA-C
NPI 1346560497
Physician Assistant in Peoria, IL

Active since June 10, 2010PECOS Enrolled
427 W NORTHMOOR RD, PEORIA, IL 61614(309) 692-5337(309) 693-3913 Get Directions Write a Review

NPPES record last updated: October 21, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tiffanny M Connolly Pa-c NPPES

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

TIFFANNY M CONNOLLY PA-C (NPI 1346560497) is an individual physician assistant in Peoria, Illinois, licensed in Illinois (385002364) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1346560497
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameTIFFANNY M CONNOLLYCredential: PA-C
Location Address427 W NORTHMOOR RDPeoria, IL 61614-3542
Mailing Address427 W Northmoor RdPeoria, IL 61614-3542 · (309) 692-5337 · Fax (309) 693-3913
Phone(309) 692-5337
Fax(309) 693-3913
Sole ProprietorNo
Enumeration DateJune 10, 2010
Last NPPES UpdateOctober 21, 2021
NPPES CertifiedAugust 19, 2021
✔ NPI 1346560497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in IL · 385002364
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
427 W NORTHMOOR RD, Peoria, IL 61614
Open in Google Maps ↗

Other Identifiers 1

OtherF400773279IL · Medicare

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tiffanny M Connolly Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 61614 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
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
Most-billed visit code 99213
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 14

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

SARA ANN MARTIN FNP-BC
Nurse Practitioner (Family)
427 W NORTHMOOR RD
PEORIA, IL 61614
Peoria County (309) 692-5337
THE BLEEDING AND CLOTTING DISORDERS INSTITUTE
Clinic/Center
427 W NORTHMOOR RD
PEORIA, IL 61614
Peoria County (309) 692-5337
TEAGHAN MIHELCIC PA-C
Physician Assistant
427 W NORTHMOOR RD
PEORIA, IL 61614
Peoria County (309) 692-5337
AMANDA M KILGORE MPT, DPT
Physical Therapist
427 W NORTHMOOR RD
PEORIA, IL 61614
Peoria County (309) 692-5337
MS. KRISTIN T ANSTEATT APRN, FNP-BC
Nurse Practitioner (Family)
427 W NORTHMOOR RD
PEORIA, IL 61614
Peoria County (309) 692-5337
DR. MICHAEL D TARANTINO MD
Pediatrics (Pediatric Hematology-Oncology)
427 W NORTHMOOR RD
PEORIA, IL 61614
Peoria County (309) 692-5337
MS. ANGELA D BROWN APN
Nurse Practitioner (Acute Care)
427 W NORTHMOOR RD
PEORIA, IL 61614
Peoria County (309) 692-5337
THE BLEEDING AND CLOTTING DISORDERS INSTITUTE
Pediatrics (Pediatric Hematology-Oncology)
427 W NORTHMOOR RD
PEORIA, IL 61614
Peoria County (309) 692-5337

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 Tiffanny Connolly's NPI number?

The NPI number for Tiffanny Connolly is 1346560497. It was assigned to this individual provider in the NPPES registry on June 10, 2010.

Where is Tiffanny Connolly located?

Tiffanny Connolly practices at 427 W Northmoor Rd, Peoria, IL 61614. The listed phone number is (309) 692-5337.

What is Tiffanny Connolly's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Tiffanny Connolly enrolled in Medicare?

Yes. Tiffanny Connolly is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tiffanny Connolly was last updated on October 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.