TIFFANY CLAIRE WAKIM GHANTOUS MSN, APRN, FNP-C
NPI 1396517496
Nurse Practitioner - Family in Evergreen Park, IL

Active since October 23, 2023PECOS EnrolledAccepts Medicare Assignment
2955 W 95TH ST, EVERGREEN PARK, IL 60805(708) 422-0022 Get Directions Write a Review

NPPES record last updated: March 23, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 23, 2026, Oct 30, 2023, Oct 23, 2023 (3 updates tracked since 2023).

About Tiffany Claire Wakim Ghantous Msn, Aprn, Fnp-c NPPES

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

TIFFANY CLAIRE WAKIM GHANTOUS MSN, APRN, FNP-C (NPI 1396517496) is an individual family provider in Evergreen Park, Illinois, licensed in Illinois (209.028519) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1396517496
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTIFFANY CLAIRE WAKIM GHANTOUSCredential: MSN, APRN, FNP-C
Location Address2955 W 95TH STEvergreen Park, IL 60805-2409
Mailing Address445 E Illinois St Unit 5509Chicago, IL 60611-0820 · (630) 408-3563
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateOctober 23, 2023
Last NPPES UpdateMarch 23, 20263 updates tracked since enumeration
NPPES CertifiedMarch 23, 2026
NPI 1396517496 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
License Licensed in IL · 209.028519
2955 W 95TH ST, Evergreen Park, IL 60805

Other Names 1

Former Name (1)Tiffany Wakim

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 Claire Wakim Ghantous Msn, Aprn, Fnp-c 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 ID6204286768
PECOS Enrollment IDI20231223000106
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 60805 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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 20

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

Nurse Practitioner (Family)
2955 W 95TH ST
EVERGREEN PARK, IL 60805
Nurse Practitioner (Family)
2955 W 95TH ST
EVERGREEN PARK, IL 60805
Nurse Practitioner (Family)
2955 W 95TH ST
EVERGREEN PARK, IL 60805
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2955 W 95TH ST
EVERGREEN PARK, IL 60805
Nurse Practitioner (Primary Care)
2955 W 95TH ST
EVERGREEN PARK, IL 60805
Family Medicine
2955 W 95TH ST
EVERGREEN PARK, IL 60805
Physician Assistant
2955 W 95TH ST
EVERGREEN PARK, IL 60805
Pharmacy (Community/Retail Pharmacy)
2955 W 95TH ST
EVERGREEN PARK, IL 60805

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 Wakim Ghantous's NPI number?

The NPI number for Tiffany Wakim Ghantous is 1396517496. It was assigned to this individual provider in the NPPES registry on October 23, 2023. The provider is also known as Tiffany Wakim.

Where is Tiffany Wakim Ghantous located?

Tiffany Wakim Ghantous practices at 2955 W 95th St, Evergreen Park, IL 60805. The listed phone number is (708) 422-0022.

What is Tiffany Wakim Ghantous's specialty?

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

Is Tiffany Wakim Ghantous enrolled in Medicare?

Yes. Tiffany Wakim Ghantous 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 Wakim Ghantous accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Tiffany Wakim Ghantous 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.

When was this NPI record last updated?

The NPPES record for Tiffany Wakim Ghantous was last updated on March 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.