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: October 18, 2026.

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

Accepted Insurance & Health Plans Health Insurance Marketplace

Marketplace plan participation on file for this provider · 2026 plan year

TIFFANY SMAHA APN, a nurse practitioner provider in Rockford, IL, is listed as in-network for 116 health insurance plans from 3 insurance companies, led by Quartz, Ambetter Health and Ambetter Health of Delaware. This list is compiled from the CMS Health Insurance Marketplace public use files for the 2026 plan year.

Verify before you schedule: insurance networks change throughout the plan year. Confirm coverage directly with your insurance company or this practice’s billing office before booking an appointment.
3
Insurance Companies
116
Plan Options
2
Network Types
Quartz
Largest Network · 57 plans
View plans
108 plans · 116 plan IDs · 2026 plan year

Ambetter Health

34 plans · Individual market · listed as Preferred

Complete Gold + Vision + Adult Dental

GoldEPOMissouri
Plan ID99723MO0110010

Complete Gold + Vision + Adult Dental

GoldHMO2 states
Plan IDs35065IN005000348286IA0020015

Complete Gold

GoldEPOMissouri
Plan ID99723MO0090016

Complete Gold

GoldHMO2 states
Plan IDs35065IN004000448286IA0010015

Complete Silver + Vision + Adult Dental

SilverEPOMissouri
Plan ID99723MO0110013

Complete Silver

SilverEPOMissouri
Plan ID99723MO0090011

Elite Bronze + Vision + Adult Dental

BronzeEPOMissouri
Plan ID99723MO0110053

Elite Bronze + Vision + Adult Dental

BronzeHMOIowa
Plan ID48286IA0020013

Elite Bronze

BronzeEPOMissouri
Plan ID99723MO0090053

Elite Bronze

BronzeHMOIowa
Plan ID48286IA0010013

Elite Gold + Vision + Adult Dental

GoldHMOIndiana
Plan ID35065IN0050006

Elite Gold

GoldHMOIndiana
Plan ID35065IN0040007

Everyday Bronze + Vision + Adult Dental

BronzeEPOMissouri
Plan ID99723MO0110009

Everyday Bronze + Vision + Adult Dental

BronzeHMOIowa
Plan ID48286IA0020012

Everyday Bronze

BronzeEPOMissouri
Plan ID99723MO0090018

Everyday Bronze

BronzeHMOIowa
Plan ID48286IA0010012

Everyday Gold + Vision + Adult Dental

GoldEPOMissouri
Plan ID99723MO0110063

Everyday Gold + Vision + Adult Dental

GoldHMOIowa
Plan ID48286IA0020016

Everyday Gold

GoldEPOMissouri
Plan ID99723MO0090063

Everyday Gold

GoldHMOIowa
Plan ID48286IA0010016

Focused Silver + Vision + Adult Dental

SilverHMO2 states
Plan IDs35065IN005000948286IA0020019

Focused Silver

SilverHMO2 states
Plan IDs35065IN004001048286IA0010019

Standard Expanded Bronze + Vision + Adult Dental

BronzeEPOMissouri
Plan ID99723MO0110070

Standard Expanded Bronze + Vision + Adult Dental

BronzeHMOIowa
Plan ID48286IA0020014

Standard Expanded Bronze

BronzeEPOMissouri
Plan ID99723MO0090069

Standard Expanded Bronze

BronzeHMOIowa
Plan ID48286IA0010014

Standard Gold + Vision + Adult Dental

GoldEPOMissouri
Plan ID99723MO0110072

Standard Gold + Vision + Adult Dental

GoldHMO2 states
Plan IDs35065IN005001248286IA0020017

Standard Gold

GoldEPOMissouri
Plan ID99723MO0090071

Standard Gold

GoldHMO2 states
Plan IDs35065IN004001348286IA0010017

Standard Silver + Vision + Adult Dental

SilverEPOMissouri
Plan ID99723MO0110027

Standard Silver + Vision + Adult Dental

SilverHMO2 states
Plan IDs35065IN005000148286IA0020023

Standard Silver

SilverEPOMissouri
Plan ID99723MO0090070

Standard Silver

SilverHMO2 states
Plan IDs35065IN004000148286IA0010020

Ambetter Health of Delaware

17 plans · Individual market · listed as Preferred

Clear Gold + Vision + Adult Dental

GoldEPODelaware
Plan ID64004DE0100011

Clear Gold

GoldEPODelaware
Plan ID64004DE0090011

Complete Gold + Vision + Adult Dental

GoldEPODelaware
Plan ID64004DE0100009

Complete Gold

GoldEPODelaware
Plan ID64004DE0090009

Elite Silver + Vision + Adult Dental

SilverEPODelaware
Plan ID64004DE0100013

Elite Silver

SilverEPODelaware
Plan ID64004DE0090013

Everyday Bronze + Vision + Adult Dental

BronzeEPODelaware
Plan ID64004DE0100002

Everyday Bronze

BronzeEPODelaware
Plan ID64004DE0090002

Focused Silver + Vision + Adult Dental

SilverEPODelaware
Plan ID64004DE0100007

Focused Silver

SilverEPODelaware
Plan ID64004DE0090007

Principal Bronze HSA + Vision + Adult Dental

BronzeEPODelaware
Plan ID64004DE0100001

Principal Bronze HSA

BronzeEPODelaware
Plan ID64004DE0090001

Standard Expanded Bronze + Vision + Adult Dental

BronzeEPODelaware
Plan ID64004DE0100004

Standard Expanded Bronze

BronzeEPODelaware
Plan ID64004DE0090004

Standard Gold + Vision + Adult Dental

GoldEPODelaware
Plan ID64004DE0100012

Standard Gold

GoldEPODelaware
Plan ID64004DE0090012

Standard Silver

SilverEPODelaware
Plan ID64004DE0090008

Quartz

57 plans · Individual market · listed as Preferred

QUARTZ GUNDERSEN PERFORMANCE BRONZE $0 MEDICAL DED

BronzeHMOWisconsin
Plan ID37833WI0510292

QUARTZ GUNDERSEN PERFORMANCE BRONZE $10,150 DED

BronzeHMOWisconsin
Plan ID37833WI0510341

QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) $0 MEDICAL DED

BronzeHMOWisconsin
Plan ID37833WI0380292

QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) $10,150 DED

BronzeHMOWisconsin
Plan ID37833WI0380341

QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) STANDARD EASY PRICING

BronzeHMOWisconsin
Plan ID37833WI0380289

QUARTZ GUNDERSEN PERFORMANCE BRONZE STANDARD EASY PRICING

BronzeHMOWisconsin
Plan ID37833WI0510289

QUARTZ GUNDERSEN PERFORMANCE CATASTROPHIC $10,600 DED

CatastrophicHMOWisconsin
Plan ID37833WI0540084

QUARTZ GUNDERSEN PERFORMANCE GOLD $4,000 DED

GoldHMOWisconsin
Plan ID37833WI0510280

QUARTZ GUNDERSEN PERFORMANCE GOLD (DENTAL & VISION) $4,000 DED

GoldHMOWisconsin
Plan ID37833WI0380280

QUARTZ GUNDERSEN PERFORMANCE GOLD (DENTAL & VISION) STANDARD EASY PRICING

GoldHMOWisconsin
Plan ID37833WI0380281

QUARTZ GUNDERSEN PERFORMANCE GOLD MAINTENANCE $700 DED

GoldHMOWisconsin
Plan ID37833WI0510305

QUARTZ GUNDERSEN PERFORMANCE GOLD MAINTENANCE (DENTAL & VISION) $700 DED

GoldHMOWisconsin
Plan ID37833WI0380305

QUARTZ GUNDERSEN PERFORMANCE GOLD STANDARD EASY PRICING

GoldHMOWisconsin
Plan ID37833WI0510281

QUARTZ GUNDERSEN PERFORMANCE SILVER $8,000 DED

SilverHMOWisconsin
Plan ID37833WI0510284

QUARTZ GUNDERSEN PERFORMANCE SILVER $9,000 DED

SilverHMOWisconsin
Plan ID37833WI0510344

QUARTZ GUNDERSEN PERFORMANCE SILVER (DENTAL & VISION) $8,000 DED

SilverHMOWisconsin
Plan ID37833WI0380284

QUARTZ GUNDERSEN PERFORMANCE SILVER (DENTAL & VISION) $9,000 DED

SilverHMOWisconsin
Plan ID37833WI0380344

QUARTZ GUNDERSEN PERFORMANCE SILVER (DENTAL & VISION) STANDARD EASY PRICING

SilverHMOWisconsin
Plan ID37833WI0380288

QUARTZ GUNDERSEN PERFORMANCE SILVER STANDARD EASY PRICING

SilverHMOWisconsin
Plan ID37833WI0510288

QUARTZ ONE ACHIEVE W/GUNDERSEN BRONZE $0 MEDICAL DED

BronzeHMOWisconsin
Plan ID37833WI0510325

QUARTZ ONE ACHIEVE W/GUNDERSEN BRONZE $10,150 DED

BronzeHMOWisconsin
Plan ID37833WI0510340

QUARTZ ONE ACHIEVE W/GUNDERSEN BRONZE (DENTAL & VISION) $0 MEDICAL DED

BronzeHMOWisconsin
Plan ID37833WI0380325

QUARTZ ONE ACHIEVE W/GUNDERSEN BRONZE (DENTAL & VISION) $10,150 DED

BronzeHMOWisconsin
Plan ID37833WI0380340

QUARTZ ONE ACHIEVE W/GUNDERSEN BRONZE (DENTAL & VISION) STANDARD EASY PRICING

BronzeHMOWisconsin
Plan ID37833WI0380326

QUARTZ ONE ACHIEVE W/GUNDERSEN BRONZE STANDARD EASY PRICING

BronzeHMOWisconsin
Plan ID37833WI0510326

QUARTZ ONE ACHIEVE W/GUNDERSEN CATASTROPHIC $10,600 DED

CatastrophicHMOWisconsin
Plan ID37833WI0540089

QUARTZ ONE ACHIEVE W/GUNDERSEN GOLD $4,000 DED

GoldHMOWisconsin
Plan ID37833WI0510318

QUARTZ ONE ACHIEVE W/GUNDERSEN GOLD (DENTAL & VISION) $4,000 DED

GoldHMOWisconsin
Plan ID37833WI0380318

QUARTZ ONE ACHIEVE W/GUNDERSEN GOLD (DENTAL & VISION) STANDARD EASY PRICING

GoldHMOWisconsin
Plan ID37833WI0380320

QUARTZ ONE ACHIEVE W/GUNDERSEN GOLD MAINTENANCE $700 DED

GoldHMOWisconsin
Plan ID37833WI0510319

QUARTZ ONE ACHIEVE W/GUNDERSEN GOLD MAINTENANCE (DENTAL & VISION) $700 DED

GoldHMOWisconsin
Plan ID37833WI0380319

QUARTZ ONE ACHIEVE W/GUNDERSEN GOLD STANDARD EASY PRICING

GoldHMOWisconsin
Plan ID37833WI0510320

QUARTZ ONE ACHIEVE W/GUNDERSEN SILVER $8,000 DED

SilverHMOWisconsin
Plan ID37833WI0510321

QUARTZ ONE ACHIEVE W/GUNDERSEN SILVER $9,000 DED

SilverHMOWisconsin
Plan ID37833WI0510343

QUARTZ ONE ACHIEVE W/GUNDERSEN SILVER (DENTAL & VISION) $8,000 DED

SilverHMOWisconsin
Plan ID37833WI0380321

QUARTZ ONE ACHIEVE W/GUNDERSEN SILVER (DENTAL & VISION) $9,000 DED

SilverHMOWisconsin
Plan ID37833WI0380343

QUARTZ ONE ACHIEVE W/GUNDERSEN SILVER (DENTAL & VISION) STANDARD EASY PRICING

SilverHMOWisconsin
Plan ID37833WI0380323

QUARTZ ONE ACHIEVE W/GUNDERSEN SILVER STANDARD EASY PRICING

SilverHMOWisconsin
Plan ID37833WI0510323

QUARTZ ONE ACHIEVE W/UW HEALTH BRONZE $0 MEDICAL DED

BronzeHMOWisconsin
Plan ID37833WI0510204

QUARTZ ONE ACHIEVE W/UW HEALTH BRONZE $10,150 DED

BronzeHMOWisconsin
Plan ID37833WI0510338

QUARTZ ONE ACHIEVE W/UW HEALTH BRONZE (DENTAL & VISION) $0 MEDICAL DED

BronzeHMOWisconsin
Plan ID37833WI0380204

QUARTZ ONE ACHIEVE W/UW HEALTH BRONZE (DENTAL & VISION) $10,150 DED

BronzeHMOWisconsin
Plan ID37833WI0380338

QUARTZ ONE ACHIEVE W/UW HEALTH BRONZE (DENTAL & VISION) STANDARD EASY PRICING

BronzeHMOWisconsin
Plan ID37833WI0380275

QUARTZ ONE ACHIEVE W/UW HEALTH BRONZE STANDARD EASY PRICING

BronzeHMOWisconsin
Plan ID37833WI0510205

QUARTZ ONE ACHIEVE W/UW HEALTH CATASTROPHIC $10,600 DED

CatastrophicHMOWisconsin
Plan ID37833WI0540008

QUARTZ ONE ACHIEVE W/UW HEALTH GOLD $4,000 DED

GoldHMOWisconsin
Plan ID37833WI0510268

QUARTZ ONE ACHIEVE W/UW HEALTH GOLD (DENTAL & VISION) $4,000 DED

GoldHMOWisconsin
Plan ID37833WI0380268

QUARTZ ONE ACHIEVE W/UW HEALTH GOLD (DENTAL & VISION) STANDARD EASY PRICING

GoldHMOWisconsin
Plan ID37833WI0380196

QUARTZ ONE ACHIEVE W/UW HEALTH GOLD MAINTENANCE $700 DED

GoldHMOWisconsin
Plan ID37833WI0510194

QUARTZ ONE ACHIEVE W/UW HEALTH GOLD MAINTENANCE (DENTAL & VISION) $700 DED

GoldHMOWisconsin
Plan ID37833WI0380194

QUARTZ ONE ACHIEVE W/UW HEALTH GOLD STANDARD EASY PRICING

GoldHMOWisconsin
Plan ID37833WI0510196

QUARTZ ONE ACHIEVE W/UW HEALTH SILVER $8,000 DED

SilverHMOWisconsin
Plan ID37833WI0510272

QUARTZ ONE ACHIEVE W/UW HEALTH SILVER $9,000 DED

SilverHMOWisconsin
Plan ID37833WI0510342

QUARTZ ONE ACHIEVE W/UW HEALTH SILVER (DENTAL & VISION) $8,000 DED

SilverHMOWisconsin
Plan ID37833WI0380272

QUARTZ ONE ACHIEVE W/UW HEALTH SILVER (DENTAL & VISION) $9,000 DED

SilverHMOWisconsin
Plan ID37833WI0380342

QUARTZ ONE ACHIEVE W/UW HEALTH SILVER (DENTAL & VISION) STANDARD EASY PRICING

SilverHMOWisconsin
Plan ID37833WI0380274

QUARTZ ONE ACHIEVE W/UW HEALTH SILVER STANDARD EASY PRICING

SilverHMOWisconsin
Plan ID37833WI0510200
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Coverage Questions FAQs

Common questions about this provider’s insurance participation, answered from the CMS Health Insurance Marketplace and Medicare enrollment files.

What insurance does TIFFANY SMAHA APN accept?

Marketplace files for the 2026 plan year list TIFFANY SMAHA APN as in-network for 116 plans from 3 insurance companies. The largest networks are Quartz (57 plans), Ambetter Health (34 plans), Ambetter Health of Delaware (17 plans). The full list above shows each plan's metal level, network type, and plan IDs.

Is TIFFANY SMAHA APN enrolled in Medicare?

Yes. CMS enrollment files show this provider accepts Medicare assignment, meaning they agree to accept the Medicare-approved amount as full payment for covered services. The provider is also enrolled in PECOS, which certifies them to order, refer, and prescribe for Medicare beneficiaries.

What network types does TIFFANY SMAHA APN participate in?

The accepted plans include 75 HMO plans and 33 EPO plans. HMO (Health Maintenance Organization) plans cover care from network providers and typically require a primary care referral for specialists. EPO (Exclusive Provider Organization) plans cover network providers only, generally without referral requirements.

Where does this insurance data come from and how current is it?

Plan participation is compiled from the official CMS Health Insurance Marketplace public use files for the 2026 plan year and refreshed as CMS publishes updated files. Networks change during the year, so always verify coverage with the insurance company or the provider's office before scheduling care.