TIFFANY SMAHA APN
NPI 1538940887
Nurse Practitioner - Family in Rockford, IL

Q: What is Tiffany Smaha's NPI number?

The NPI number for Tiffany Smaha is 1538940887. It was assigned to this individual provider in the NPPES registry on October 12, 2023.

Q: What is Tiffany Smaha's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Tiffany Smaha was last updated on April 1, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 12, 2023PECOS EnrolledAccepts Medicare Assignment

401 ROXBURY RD, ROCKFORD, IL 61107(815) 397-7340 Get Directions Write a Review

NPPES record last updated: April 1, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 1, 2024, Oct 12, 2023 (2 updates tracked since 2023).

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About Tiffany Smaha Apn NPPES

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

TIFFANY SMAHA APN (NPI 1538940887) is an individual family provider in Rockford, Illinois, licensed in Illinois (209028383) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS, is affiliated with Uw Health, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1538940887

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameTIFFANY SMAHACredential: APN

Location Address401 ROXBURY RDRockford, IL 61107-5078

Mailing Address401 Roxbury RdRockford, IL 61107-5078 · (815) 397-7340

Phone(815) 397-7340

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateOctober 12, 2023

Last NPPES UpdateApril 1, 20242 updates tracked since enumeration

NPPES CertifiedApril 1, 2024

✔ NPI 1538940887 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 · 209028383

401 ROXBURY RD, Rockford, IL 61107

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Quartz.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 Smaha Apn 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 ID6901255363

PECOS Enrollment IDI20231211000807

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.

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.

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.

105 services105 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.

56 services50 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.

45 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.

24 services24 patients

Hospital Affiliations CMS Care Compare 2

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

Uw Health

Acute Care Hospitals · Rockford, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140228

Location1401 East State StreetRockford, IL 61104 · Winnebago County

Emergency services Birthing friendly

Saint Anthony Medical Center

Acute Care Hospitals · Rockford, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140233

Location5666 East State StreetRockford, IL 61108 · Winnebago County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61107 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

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

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.

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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.

WILLIAM N BASKIN M.D.