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TIFFANY HOSP NP
NPI 1356037592
Nurse Practitioner in Mascoutah, IL

Active since April 12, 2023PECOS EnrolledAccepts Medicare Assignment
739 N JEFFERSON ST STE 200, MASCOUTAH, IL 62258(618) 566-8810(618) 566-7121 Get Directions Write a Review

NPPES record last updated: February 4, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 4, 2025, Apr 12, 2023 (2 updates tracked since 2023).

About Tiffany Hosp Np NPPES

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

TIFFANY HOSP NP (NPI 1356037592) is an individual nurse practitioner in Mascoutah, Illinois, licensed in Illinois (209027100) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS, is affiliated with St Josephs Hospital, and maintains a secondary practice location in Waterloo.

NPPES Registry Identity

NPI1356037592
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameTIFFANY HOSPCredential: NP
Location Address739 N JEFFERSON ST STE 200Mascoutah, IL 62258-1447
Mailing Address739 N Jefferson St Ste 200Mascoutah, IL 62258-1447 · (618) 566-8810 · Fax (618) 566-7121
Phone(618) 566-8810
Fax(618) 566-7121
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateApril 12, 2023
Last NPPES UpdateFebruary 4, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2025
✔ NPI 1356037592 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 · 209027100
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.
739 N JEFFERSON ST STE 200, Mascoutah, IL 62258
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Secondary Practice Location 1

Location 1907 N Illinois Route 3Waterloo, IL 62298-1074 · Phone (313) 948-3055

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, UnitedHealthcare.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 Hosp Np 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 ID2961867858
PECOS Enrollment IDI20230427003069
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

6

Medicare enrollment records show Tiffany Hosp reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lincoln Surgical Associates, Ltd.
8.8 mi
Surgery
1414 CROSS ST STE 330
Shiloh, IL 62269
  • Reassigned Medicare billing, Illinois enrollment
  • 24 clinicians in this Medicare group
NPI 1861706814 (618) 277-7400
Belleville Urgent Care Walk-In Clinic
12 mi
Family Medicine
2801 W MAIN ST
Belleville, IL 62226
  • Reassigned Medicare billing, Illinois enrollment
  • 53 clinicians in this Medicare group
NPI 1225694946 (313) 948-3055
Waterloo Urgent Care Walk In Clinic Company
22 mi
Family Medicine
901 ILLINOIS ROUTE 3
Waterloo, IL 62298
  • Reassigned Medicare billing, Illinois enrollment
  • 51 clinicians in this Medicare group
NPI 1508471418 (313) 948-3055
Granite City Urgent Care Walk-In Clinic
24 mi
Urgent Care
2861 MADISON AVE
Granite City, IL 62040
  • Reassigned Medicare billing, Illinois enrollment
  • 54 clinicians in this Medicare group
NPI 1659861953 (734) 771-8504
Wood River Urgent Care And Walk In Clinic Inc
31 mi
Family Medicine
211 MADISON AVE
Wood River, IL 62095
  • Reassigned Medicare billing, Illinois enrollment
  • 40 clinicians in this Medicare group
NPI 1427717438 (313) 948-3055
Alton Urgent Care Walk In Clinic Company
35 mi
Family Medicine
1417 WASHINGTON AVE
Alton, IL 62002
  • Reassigned Medicare billing, Illinois enrollment
  • 50 clinicians in this Medicare group
NPI 1013521343 (313) 948-3055

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

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
89 services78 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
84 services39 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
70 services70 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
51 services44 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
40 services35 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
39 services39 patients

Hospital Affiliations CMS Care Compare 2

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

St Josephs Hospital

Acute Care Hospitals · Breese, IL
OwnershipVoluntary non-profit - Church
CMS Certification Number140145
Location9515 Holy Cross LnBreese, IL 62230 · Clinton County
Emergency services Birthing friendly

Hshs St Elizabeth's Hospital

Acute Care Hospitals · O Fallon, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140187
LocationOne St Elizabeth BoulevardO Fallon, IL 62269 · St. Clair County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62258 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
$88.44 typical visit price
range $56.28 – $173.35
Typical copayment $22.11 (range $14.07 – $43.33)
Most-billed visit code 99203
Established Patient
$99.71 typical visit price
range $17.51 – $139.99
Typical copayment $24.92 (range $4.37 – $34.99)
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 Hosp's NPI number?

The NPI number for Tiffany Hosp is 1356037592. It was assigned to this individual provider in the NPPES registry on April 12, 2023.

Where is Tiffany Hosp located?

Tiffany Hosp practices at 739 N Jefferson St Ste 200, Mascoutah, IL 62258. The listed phone number is (618) 566-8810.

What is Tiffany Hosp's specialty?

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

Is Tiffany Hosp enrolled in Medicare?

Yes. Tiffany Hosp 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 Hosp's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tiffany Hosp reassigns Medicare benefits to 6 organizations: Lincoln Surgical Associates, Ltd. (Shiloh, IL), Belleville Urgent Care Walk-In Clinic (Belleville, IL), Waterloo Urgent Care Walk In Clinic Company (Waterloo, IL), Granite City Urgent Care Walk-In Clinic (Granite City, IL), Wood River Urgent Care And Walk In Clinic Inc (Wood River, IL) and 1 more organization, listed in the Medicare section above. 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 Hosp's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tiffany Hosp accept?

Health plans from Medica and UnitedHealthcare list Tiffany Hosp 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 Hosp affiliated with any hospitals?

According to CMS data, Tiffany Hosp is affiliated with St Josephs Hospital and Hshs St Elizabeth's Hospital.

When was this NPI record last updated?

The NPPES record for Tiffany Hosp was last updated on February 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.