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TIFFANY K FLAHERTY NP
NPI 1487918124
Nurse Practitioner in Troy, MO

Active since June 27, 2012PECOS EnrolledAccepts Medicare Assignment
25 PROSPECT CIR, TROY, MO 63379(636) 528-2650(636) 528-2661 Get Directions Write a Review

NPPES record last updated: June 27, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Tiffany K Flaherty Np NPPES

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

TIFFANY K FLAHERTY NP (NPI 1487918124) is an individual nurse practitioner in Troy, Missouri, licensed in Missouri (2012016458) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS, is affiliated with Ssm St Joseph Health Center, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1487918124
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameTIFFANY K FLAHERTYCredential: NP
Location Address25 PROSPECT CIRTroy, MO 63379-3173
Mailing Address1551 Wall St, Suite 310Saint Charles, MO 63303-3539 · (636) 669-2268 · Fax (314) 209-8127
Phone(636) 528-2650
Fax(636) 528-2661
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJune 27, 2012
✔ NPI 1487918124 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 MO · 2012016458
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.
25 PROSPECT CIR, Troy, MO 63379
Open in Google Maps ↗

Other Identifiers 1

Other2012016458MO · License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter Health and more.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 K Flaherty 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 ID5698923688
PECOS Enrollment IDI20120917000667
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

2

Medicare enrollment records show Tiffany Flaherty reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ssm Health Care St. Louis
13 mi
Emergency Medicine
500 MEDICAL DR
Wentzville, MO 63385
  • Reassigned Medicare billing, Missouri enrollment
  • 741 clinicians in this Medicare group
NPI 1588618755 (636) 327-1117
Ssm Medical Group, Inc.
17 mi
Clinic/Center
1101 HIGHWAY K STE A
O Fallon, MO 63366
  • Reassigned Medicare billing, Missouri enrollment
  • 697 clinicians in this Medicare group
NPI 1851896146 (844) 766-7200

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 4

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 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.
260 services180 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
22 services22 patients
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.
16 services16 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
14 services14 patients

Hospital Affiliations CMS Care Compare 3

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

Ssm St Joseph Health Center

Acute Care Hospitals · Saint Charles, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260005
Location300 1st Capitol DrSaint Charles, MO 63301 · St. Charles County
Emergency services

Ssm St Joseph Hospital West

Acute Care Hospitals · Lake Saint Louis, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number260200
Location100 Medical PlazaLake Saint Louis, MO 63367 · St. Charles County
Emergency services Birthing friendly

Mercy Hospital Lincoln

Critical Access Hospitals · Troy, MO
OwnershipGovernment - Local
CMS Certification Number261319
Location1000 East Cherry StreetTroy, MO 63379 · Lincoln County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63379 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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

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

DR. BETH ANN RASMUSSEN M.D.
Obstetrics & Gynecology
25 PROSPECT CIR
TROY, MO 63379
Lincoln County (636) 528-2650

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 Flaherty's NPI number?

The NPI number for Tiffany Flaherty is 1487918124. It was assigned to this individual provider in the NPPES registry on June 27, 2012.

Where is Tiffany Flaherty located?

Tiffany Flaherty practices at 25 Prospect Cir, Troy, MO 63379. The listed phone number is (636) 528-2650.

What is Tiffany Flaherty's specialty?

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

Is Tiffany Flaherty enrolled in Medicare?

Yes. Tiffany Flaherty 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 Flaherty's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tiffany Flaherty reassigns Medicare benefits to 2 organizations: Ssm Health Care St. Louis (Wentzville, MO) and Ssm Medical Group, Inc. (O Fallon, MO). 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 Flaherty's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tiffany Flaherty accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 4 other insurers list Tiffany Flaherty 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 Flaherty affiliated with any hospitals?

According to CMS data, Tiffany Flaherty is affiliated with Ssm St Joseph Health Center, Ssm St Joseph Hospital West and Mercy Hospital Lincoln.

When was this NPI record last updated?

The NPPES record for Tiffany Flaherty was last updated on June 27, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.