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

Active since October 12, 2023PECOS EnrolledAccepts Medicare Assignment
401 ROXBURY RD, ROCKFORD, IL 61107(815) 397-7340 Get Directions

NPPES record last updated: April 1, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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

Does Tiffany Smaha take my insurance?

Ambetter Health includes Tiffany Smaha in 11 Illinois plans sold on Get Covered Illinois for 2026, all on its Premier network. Insurers also list Tiffany Smaha in Indiana, Iowa, Kentucky, Missouri and Wisconsin.

Call before you book: insurer directories can be out of date, so call the office at (815) 397-7340 to confirm your plan is accepted. These are Marketplace (ACA) plans only; employer, Medicare Advantage and Medicaid plans are not listed.

136 plans · 2026 plan year

Illinois plans 11 plans

Plans sold to Illinois residents. Costs are for the standard version of each plan.

Ambetter Health

11 plans · HMO
Not accepting new patients
Everyday GoldNetwork tier: PreferredHMOGold$80027833IL0140064View details
Everyday Gold + Vision + Adult DentalNetwork tier: PreferredHMOGold$80027833IL0150059View details
Central GoldNetwork tier: PreferredHMOGold$1,00027833IL0140071View details
Central Gold + Vision + Adult DentalNetwork tier: PreferredHMOGold$1,00027833IL0150071View details
Standard GoldNetwork tier: PreferredHMOGold$2,00027833IL0140075View details
Standard Gold + Vision + Adult DentalNetwork tier: PreferredHMOGold$2,00027833IL0150074View details
Standard SilverNetwork tier: PreferredHMOSilver$6,00027833IL0140074View details
Standard Silver + Vision + Adult DentalNetwork tier: PreferredHMOSilver$6,00027833IL0150073View details
Focused SilverNetwork tier: PreferredHMOSilver$6,30027833IL0140063View details
Focused Silver + Vision + Adult DentalNetwork tier: PreferredHMOSilver$6,30027833IL0150058View details
Clear SilverNetwork tier: PreferredHMOSilver$7,00027833IL0140061View details

Also listed in other states 125 plans · 5 states

Insurers sometimes list a provider in other states' networks, for example for telehealth or a practice near a state line. These plans are sold to residents of those states.

Quartz · Wisconsin

57 plans · HMO
Accepting new patientsDeductible $0 to $12,000
Quartz One Achieve network · 38 plans · Preferred tier
QUARTZ ONE ACHIEVE W/GUNDERSEN GOLD MAINTENANCE $700 DEDNetwork tier: PreferredHMOGold$70037833WI0510319View details
QUARTZ ONE ACHIEVE W/GUNDERSEN GOLD MAINTENANCE (DENTAL & VISION) $700 DEDNetwork tier: PreferredHMOGold$70037833WI0380319View details
QUARTZ ONE ACHIEVE W/UW HEALTH GOLD MAINTENANCE $700 DEDNetwork tier: PreferredHMOGold$70037833WI0510194View details
QUARTZ ONE ACHIEVE W/UW HEALTH GOLD MAINTENANCE (DENTAL & VISION) $700 DEDNetwork tier: PreferredHMOGold$70037833WI0380194View details
QUARTZ ONE ACHIEVE W/GUNDERSEN GOLD (DENTAL & VISION) STANDARD EASY PRICINGNetwork tier: PreferredHMOGold$2,50037833WI0380320View details
QUARTZ ONE ACHIEVE W/GUNDERSEN GOLD STANDARD EASY PRICINGNetwork tier: PreferredHMOGold$2,50037833WI0510320View details
QUARTZ ONE ACHIEVE W/UW HEALTH GOLD (DENTAL & VISION) STANDARD EASY PRICINGNetwork tier: PreferredHMOGold$2,50037833WI0380196View details
QUARTZ ONE ACHIEVE W/UW HEALTH GOLD STANDARD EASY PRICINGNetwork tier: PreferredHMOGold$2,50037833WI0510196View details
QUARTZ ONE ACHIEVE W/GUNDERSEN GOLD $4,250 DEDNetwork tier: PreferredHMOGold$4,25037833WI0510318View details
QUARTZ ONE ACHIEVE W/GUNDERSEN GOLD (DENTAL & VISION) $4,250 DEDNetwork tier: PreferredHMOGold$4,25037833WI0380318View details
QUARTZ ONE ACHIEVE W/UW HEALTH GOLD $4,250 DEDNetwork tier: PreferredHMOGold$4,25037833WI0510268View details
QUARTZ ONE ACHIEVE W/UW HEALTH GOLD (DENTAL & VISION) $4,250 DEDNetwork tier: PreferredHMOGold$4,25037833WI0380268View details
QUARTZ ONE ACHIEVE W/GUNDERSEN SILVER (DENTAL & VISION) STANDARD EASY PRICINGNetwork tier: PreferredHMOSilver$6,40037833WI0380323View details
QUARTZ ONE ACHIEVE W/GUNDERSEN SILVER STANDARD EASY PRICINGNetwork tier: PreferredHMOSilver$6,40037833WI0510323View details
QUARTZ ONE ACHIEVE W/UW HEALTH SILVER (DENTAL & VISION) STANDARD EASY PRICINGNetwork tier: PreferredHMOSilver$6,40037833WI0380274View details
QUARTZ ONE ACHIEVE W/UW HEALTH SILVER STANDARD EASY PRICINGNetwork tier: PreferredHMOSilver$6,40037833WI0510200View details
QUARTZ ONE ACHIEVE W/GUNDERSEN SILVER $8,500 DEDNetwork tier: PreferredHMOSilver$8,50037833WI0510321View details
QUARTZ ONE ACHIEVE W/GUNDERSEN SILVER (DENTAL & VISION) $8,500 DEDNetwork tier: PreferredHMOSilver$8,50037833WI0380321View details
QUARTZ ONE ACHIEVE W/UW HEALTH SILVER $8,500 DEDNetwork tier: PreferredHMOSilver$8,50037833WI0510272View details
QUARTZ ONE ACHIEVE W/UW HEALTH SILVER (DENTAL & VISION) $8,500 DEDNetwork tier: PreferredHMOSilver$8,50037833WI0380272View details
QUARTZ ONE ACHIEVE W/GUNDERSEN SILVER $9,900 DEDNetwork tier: PreferredHMOSilver$9,90037833WI0510343View details
QUARTZ ONE ACHIEVE W/GUNDERSEN SILVER (DENTAL & VISION) $9,900 DEDNetwork tier: PreferredHMOSilver$9,90037833WI0380343View details
QUARTZ ONE ACHIEVE W/UW HEALTH SILVER $9,900 DEDNetwork tier: PreferredHMOSilver$9,90037833WI0510342View details
QUARTZ ONE ACHIEVE W/UW HEALTH SILVER (DENTAL & VISION) $9,900 DEDNetwork tier: PreferredHMOSilver$9,90037833WI0380342View details
QUARTZ ONE ACHIEVE W/GUNDERSEN BRONZE $0 MEDICAL DEDNetwork tier: PreferredHMOExpanded Bronze$037833WI0510325View details
QUARTZ ONE ACHIEVE W/GUNDERSEN BRONZE (DENTAL & VISION) $0 MEDICAL DEDNetwork tier: PreferredHMOExpanded Bronze$037833WI0380325View details
QUARTZ ONE ACHIEVE W/UW HEALTH BRONZE $0 MEDICAL DEDNetwork tier: PreferredHMOExpanded Bronze$037833WI0510204View details
QUARTZ ONE ACHIEVE W/UW HEALTH BRONZE (DENTAL & VISION) $0 MEDICAL DEDNetwork tier: PreferredHMOExpanded Bronze$037833WI0380204View details
QUARTZ ONE ACHIEVE W/GUNDERSEN BRONZE (DENTAL & VISION) STANDARD EASY PRICINGNetwork tier: PreferredHMOExpanded Bronze$7,50037833WI0380326View details
QUARTZ ONE ACHIEVE W/GUNDERSEN BRONZE STANDARD EASY PRICINGNetwork tier: PreferredHMOExpanded Bronze$7,50037833WI0510326View details
QUARTZ ONE ACHIEVE W/UW HEALTH BRONZE (DENTAL & VISION) STANDARD EASY PRICINGNetwork tier: PreferredHMOExpanded Bronze$7,50037833WI0380275View details
QUARTZ ONE ACHIEVE W/UW HEALTH BRONZE STANDARD EASY PRICINGNetwork tier: PreferredHMOExpanded Bronze$7,50037833WI0510205View details
QUARTZ ONE ACHIEVE W/GUNDERSEN BRONZE $10,800 DEDNetwork tier: PreferredHMOExpanded Bronze$10,80037833WI0510340View details
QUARTZ ONE ACHIEVE W/GUNDERSEN BRONZE (DENTAL & VISION) $10,800 DEDNetwork tier: PreferredHMOExpanded Bronze$10,80037833WI0380340View details
QUARTZ ONE ACHIEVE W/UW HEALTH BRONZE $10,800 DEDNetwork tier: PreferredHMOExpanded Bronze$10,80037833WI0510338View details
QUARTZ ONE ACHIEVE W/UW HEALTH BRONZE (DENTAL & VISION) $10,800 DEDNetwork tier: PreferredHMOExpanded Bronze$10,80037833WI0380338View details
QUARTZ ONE ACHIEVE W/GUNDERSEN CATASTROPHIC $12,000 DEDNetwork tier: PreferredHMOCatastrophic$12,00037833WI0540089View details
QUARTZ ONE ACHIEVE W/UW HEALTH CATASTROPHIC $12,000 DEDNetwork tier: PreferredHMOCatastrophic$12,00037833WI0540008View details
Quartz Gundersen Performance network · 19 plans · Preferred tier
QUARTZ GUNDERSEN PERFORMANCE GOLD MAINTENANCE $700 DEDNetwork tier: PreferredHMOGold$70037833WI0510305View details
QUARTZ GUNDERSEN PERFORMANCE GOLD MAINTENANCE (DENTAL & VISION) $700 DEDNetwork tier: PreferredHMOGold$70037833WI0380305View details
QUARTZ GUNDERSEN PERFORMANCE GOLD (DENTAL & VISION) STANDARD EASY PRICINGNetwork tier: PreferredHMOGold$2,50037833WI0380281View details
QUARTZ GUNDERSEN PERFORMANCE GOLD STANDARD EASY PRICINGNetwork tier: PreferredHMOGold$2,50037833WI0510281View details
QUARTZ GUNDERSEN PERFORMANCE GOLD $4,250 DEDNetwork tier: PreferredHMOGold$4,25037833WI0510280View details
QUARTZ GUNDERSEN PERFORMANCE GOLD (DENTAL & VISION) $4,250 DEDNetwork tier: PreferredHMOGold$4,25037833WI0380280View details
QUARTZ GUNDERSEN PERFORMANCE SILVER (DENTAL & VISION) STANDARD EASY PRICINGNetwork tier: PreferredHMOSilver$6,40037833WI0380288View details
QUARTZ GUNDERSEN PERFORMANCE SILVER STANDARD EASY PRICINGNetwork tier: PreferredHMOSilver$6,40037833WI0510288View details
QUARTZ GUNDERSEN PERFORMANCE SILVER $8,500 DEDNetwork tier: PreferredHMOSilver$8,50037833WI0510284View details
QUARTZ GUNDERSEN PERFORMANCE SILVER (DENTAL & VISION) $8,500 DEDNetwork tier: PreferredHMOSilver$8,50037833WI0380284View details
QUARTZ GUNDERSEN PERFORMANCE SILVER $9,900 DEDNetwork tier: PreferredHMOSilver$9,90037833WI0510344View details
QUARTZ GUNDERSEN PERFORMANCE SILVER (DENTAL & VISION) $9,900 DEDNetwork tier: PreferredHMOSilver$9,90037833WI0380344View details
QUARTZ GUNDERSEN PERFORMANCE BRONZE $0 MEDICAL DEDNetwork tier: PreferredHMOExpanded Bronze$037833WI0510292View details
QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) $0 MEDICAL DEDNetwork tier: PreferredHMOExpanded Bronze$037833WI0380292View details
QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) STANDARD EASY PRICINGNetwork tier: PreferredHMOExpanded Bronze$7,50037833WI0380289View details
QUARTZ GUNDERSEN PERFORMANCE BRONZE STANDARD EASY PRICINGNetwork tier: PreferredHMOExpanded Bronze$7,50037833WI0510289View details
QUARTZ GUNDERSEN PERFORMANCE BRONZE $10,800 DEDNetwork tier: PreferredHMOExpanded Bronze$10,80037833WI0510341View details
QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) $10,800 DEDNetwork tier: PreferredHMOExpanded Bronze$10,80037833WI0380341View details
QUARTZ GUNDERSEN PERFORMANCE CATASTROPHIC $12,000 DEDNetwork tier: PreferredHMOCatastrophic$12,00037833WI0540084View details

Ambetter Health · Indiana

18 plans · HMO
Not accepting new patientsDeductible $0 to $9,350
Elite GoldNetwork tier: PreferredHMOGold$035065IN0040007View details
Elite Gold + Vision + Adult DentalNetwork tier: PreferredHMOGold$035065IN0050006View details
Complete GoldNetwork tier: PreferredHMOGold$1,45035065IN0040004View details
Complete Gold + Vision + Adult DentalNetwork tier: PreferredHMOGold$1,45035065IN0050003View details
Signature GoldNetwork tier: PreferredHMOGold$2,50035065IN0040013View details
Signature Gold + Vision + Adult DentalNetwork tier: PreferredHMOGold$2,50035065IN0050012View details
Enhanced Diabetes Care Silver $0 Rx OptionsNetwork tier: PreferredHMOSilver$5,00035065IN0040019View details
Enhanced Diabetes Care Silver $0 Rx Options + Vision + Adult DentalNetwork tier: PreferredHMOSilver$5,00035065IN0050017View details
Focused SilverNetwork tier: PreferredHMOSilver$6,30035065IN0040010View details
Focused Silver + Vision + Adult DentalNetwork tier: PreferredHMOSilver$6,30035065IN0050009View details
Signature SilverNetwork tier: PreferredHMOSilver$6,40035065IN0040001View details
Signature Silver + Vision + Adult DentalNetwork tier: PreferredHMOSilver$6,40035065IN0050001View details
Signature Expanded BronzeNetwork tier: PreferredHMOExpanded Bronze$7,50035065IN0040017View details
Signature Expanded Bronze + Vision + Adult DentalNetwork tier: PreferredHMOExpanded Bronze$7,50035065IN0050015View details
Choice Bronze HSANetwork tier: PreferredHMOExpanded Bronze$7,95035065IN0040015View details
Choice Bronze HSA + Vision + Adult DentalNetwork tier: PreferredHMOExpanded Bronze$7,95035065IN0050013View details
Everyday BronzeNetwork tier: PreferredHMOExpanded Bronze$9,35035065IN0040016View details
Everyday Bronze + Vision + Adult DentalNetwork tier: PreferredHMOExpanded Bronze$9,35035065IN0050014View details

Ambetter Health · Iowa

17 plans · HMO
Not accepting new patientsDeductible $0 to $9,350
Everyday GoldNetwork tier: PreferredHMOGold$80048286IA0010016View details
Everyday Gold + Vision + Adult DentalNetwork tier: PreferredHMOGold$80048286IA0020016View details
Complete GoldNetwork tier: PreferredHMOGold$1,45048286IA0010015View details
Complete Gold + Vision + Adult DentalNetwork tier: PreferredHMOGold$1,45048286IA0020015View details
Signature GoldNetwork tier: PreferredHMOGold$2,50048286IA0010017View details
Signature Gold + Vision + Adult DentalNetwork tier: PreferredHMOGold$2,50048286IA0020017View details
Streamlined SilverNetwork tier: PreferredHMOSilver$4,70048286IA0010025View details
Focused SilverNetwork tier: PreferredHMOSilver$6,30048286IA0010019View details
Focused Silver + Vision + Adult DentalNetwork tier: PreferredHMOSilver$6,30048286IA0020019View details
Signature SilverNetwork tier: PreferredHMOSilver$6,40048286IA0010020View details
Signature Silver + Vision + Adult DentalNetwork tier: PreferredHMOSilver$6,40048286IA0020023View details
Elite BronzeNetwork tier: PreferredHMOExpanded Bronze$048286IA0010013View details
Elite Bronze + Vision + Adult DentalNetwork tier: PreferredHMOExpanded Bronze$048286IA0020013View details
Signature Expanded BronzeNetwork tier: PreferredHMOExpanded Bronze$7,50048286IA0010014View details
Signature Expanded Bronze + Vision + Adult DentalNetwork tier: PreferredHMOExpanded Bronze$7,50048286IA0020014View details
Everyday BronzeNetwork tier: PreferredHMOExpanded Bronze$9,35048286IA0010012View details
Everyday Bronze + Vision + Adult DentalNetwork tier: PreferredHMOExpanded Bronze$9,35048286IA0020012View details

Ambetter Health · Missouri

17 plans · EPO
Not accepting new patientsDeductible $0 to $9,350
Everyday GoldNetwork tier: PreferredEPOGold$80099723MO0090063View details
Everyday Gold + Vision + Adult DentalNetwork tier: PreferredEPOGold$80099723MO0110063View details
Complete GoldNetwork tier: PreferredEPOGold$1,45099723MO0090016View details
Complete Gold + Vision + Adult DentalNetwork tier: PreferredEPOGold$1,45099723MO0110010View details
Signature GoldNetwork tier: PreferredEPOGold$2,50099723MO0090071View details
Signature Gold + Vision + Adult DentalNetwork tier: PreferredEPOGold$2,50099723MO0110072View details
Summit SilverNetwork tier: PreferredEPOSilver$4,10099723MO0090021View details
Signature SilverNetwork tier: PreferredEPOSilver$6,40099723MO0090070View details
Signature Silver + Vision + Adult DentalNetwork tier: PreferredEPOSilver$6,40099723MO0110027View details
Complete SilverNetwork tier: PreferredEPOSilver$6,95099723MO0090011View details
Complete Silver + Vision + Adult DentalNetwork tier: PreferredEPOSilver$6,95099723MO0110013View details
Elite BronzeNetwork tier: PreferredEPOExpanded Bronze$099723MO0090053View details
Elite Bronze + Vision + Adult DentalNetwork tier: PreferredEPOExpanded Bronze$099723MO0110053View details
Signature Expanded BronzeNetwork tier: PreferredEPOExpanded Bronze$7,50099723MO0090069View details
Signature Expanded Bronze + Vision + Adult DentalNetwork tier: PreferredEPOExpanded Bronze$7,50099723MO0110070View details
Everyday BronzeNetwork tier: PreferredEPOExpanded Bronze$9,35099723MO0090018View details
Everyday Bronze + Vision + Adult DentalNetwork tier: PreferredEPOExpanded Bronze$9,35099723MO0110009View details

Ambetter Health · Kentucky

16 plans · HMO
Not accepting new patientsDeductible $800 to $8,450
Everyday GoldNetwork tier: PreferredHMOGold$80072001KY0020010View details
Everyday Gold + Vision + Adult DentalNetwork tier: PreferredHMOGold$80072001KY0030010View details
Complete GoldNetwork tier: PreferredHMOGold$1,45072001KY0020009View details
Complete Gold + Vision + Adult DentalNetwork tier: PreferredHMOGold$1,45072001KY0030009View details
Enhanced Asthma/COPD Care Silver with $0 Drug OptionsNetwork tier: PreferredHMOSilver$5,90072001KY0020012View details
Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult DentalNetwork tier: PreferredHMOSilver$5,90072001KY0030012View details
Complete SilverNetwork tier: PreferredHMOSilver$5,95072001KY0020005View details
Complete Silver + Vision + Adult DentalNetwork tier: PreferredHMOSilver$5,95072001KY0030005View details
Focused SilverNetwork tier: PreferredHMOSilver$6,30072001KY0020007View details
Focused Silver + Vision + Adult DentalNetwork tier: PreferredHMOSilver$6,30072001KY0030007View details
Clear SilverNetwork tier: PreferredHMOSilver$7,00072001KY0020006View details
Clear Silver + Vision + Adult DentalNetwork tier: PreferredHMOSilver$7,00072001KY0030013View details
Choice Bronze HSANetwork tier: PreferredHMOExpanded Bronze$7,25072001KY0020002View details
Choice Bronze HSA + Vision + Adult DentalNetwork tier: PreferredHMOExpanded Bronze$7,25072001KY0030002View details
Everyday BronzeNetwork tier: PreferredHMOExpanded Bronze$8,45072001KY0020003View details
Everyday Bronze + Vision + Adult DentalNetwork tier: PreferredHMOExpanded Bronze$8,45072001KY0030003View details

Questions about Tiffany Smaha’s insurance

Does Tiffany Smaha take Ambetter Health?

For Illinois Marketplace plans, yes: Ambetter Health includes Tiffany Smaha in 11 plans for 2026. Call the office at (815) 397-7340 to confirm your plan before booking.

Do I need a referral to see Tiffany Smaha?

Not under the Illinois plans that list Tiffany Smaha: the 2026 plan files say a specialist referral is not required.

Does Tiffany Smaha accept Medicare?

Yes. CMS files show Tiffany Smaha accepts Medicare assignment and is enrolled in PECOS, which allows ordering and referring for Medicare patients.

About this data

This page combines public files from insurers and from CMS. NPI Profile does not contract with insurers and does not decide who is in network.

SourceWhat it provides hereSource date
Insurer provider directory filesWhich plans list this provider, network tier, accepting new patients, years listed. Insurers selling on HealthCare.gov must publish these files under CMS rules.Ambetter Health: Nov 4, 2026
Quartz: Oct 15, 2026
CMS Health Insurance Exchange public use filesPlan details and Summary of Benefits links for HealthCare.gov states.Plan year 2026, Oct 20, 2026
CMS state-based exchange public use filesPlan details for states that run their own exchange, here Illinois and Kentucky. No document links.Plan year 2026, Jun 3, 2026
  • Only Marketplace (ACA) plans are covered. Employer, Medicare Advantage and Medicaid managed care networks are not in these files.
  • Costs are for the standard version of each plan. People who qualify for cost-sharing reductions pay less on Silver plans.
  • Accepting new patients and network tier are reported by each insurer, and can differ from what the practice tells you.
  • Networks change during the year. Confirm with your insurer or the practice before booking.