TIFFANY STORK CRNA
NPI 1609274877
Nurse Anesthetist, Certified Registered in Springfield, IL

Active since December 19, 2014Accepts Medicare Assignment
67.18/100
CMS Quality Rating
800 E CARPENTER ST, SPRINGFIELD, IL 62702(217) 525-5643(217) 544-2521 Get Directions Write a Review

NPPES record last updated: January 28, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tiffany Stork Crna NPPES

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

TIFFANY STORK CRNA (NPI 1609274877) is an individual nurse anesthetist, certified registered in Springfield, Illinois, licensed in Illinois (209012504) and active in the NPI registry since December 2014. She is affiliated with Memorial Medical Center and is a graduate of Other (2014).

NPPES Registry Identity

NPI1609274877
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameTIFFANY STORKCredential: CRNA
Location Address800 E CARPENTER STSpringfield, IL 62702-5324
Mailing Address800 E Carpenter StSpringfield, IL 62702-5324 · (217) 525-5643 · Fax (217) 544-2521
Fax(217) 544-2521
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateDecember 19, 2014
Last NPPES UpdateJanuary 28, 2015
NPI 1609274877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License Licensed in IL · 209012504
Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

800 E CARPENTER ST, Springfield, IL 62702

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 Stork Crna 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 ID143545988
PECOS Enrollment IDI20150219000193

Areas of Expertise CMS Part B claims 3

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.

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
28 services28 patients
Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
22 services22 patients
Anesthesia for electroshock therapy 00104
Anesthesia for electroshock therapy involves administering medications to put you into a deep sleep. This ensures you won't feel pain or remember the procedure. It's essential for your comfort and safety during the therapy.
13 services11 patients

Hospital Affiliations CMS Care Compare

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

Memorial Medical Center

Acute Care Hospitals · Springfield, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140148
Location701 N First StSpringfield, IL 62702 · Sangamon County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62702 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

67.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality63.86
Improvement Activities40
Cost56.87

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.

Radiology (Diagnostic Radiology)
800 E CARPENTER ST, DEPARTMENT OF RADIOLOGY
SPRINGFIELD, IL 62702
Radiology (Neuroradiology)
800 E CARPENTER ST, DEPARTMENT OF RADIOLOGY
SPRINGFIELD, IL 62702
Radiology (Diagnostic Radiology)
800 E CARPENTER ST, DEPARTMENT OF RADIOLOGY
SPRINGFIELD, IL 62702
Radiology (Diagnostic Radiology)
800 E CARPENTER ST, DEPARTMENT OF RADIOLOGY
SPRINGFIELD, IL 62702
Internal Medicine
800 E CARPENTER ST
SPRINGFIELD, IL 62702
Ambulance (Air Transport)
800 E CARPENTER ST
SPRINGFIELD, IL 62702
Radiologic Technologist
800 E CARPENTER ST
SPRINGFIELD, IL 62702
Occupational Therapist (Pediatrics)
800 E CARPENTER ST
SPRINGFIELD, IL 62702

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 Stork's NPI number?

The NPI number for Tiffany Stork is 1609274877. It was assigned to this individual provider in the NPPES registry on December 19, 2014.

Where is Tiffany Stork located?

Tiffany Stork practices at 800 E Carpenter St, Springfield, IL 62702. The listed phone number is (217) 525-5643.

What is Tiffany Stork's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Tiffany Stork enrolled in Medicare?

Yes. Tiffany Stork 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.

Is Tiffany Stork affiliated with any hospitals?

According to CMS data, Tiffany Stork is affiliated with Memorial Medical Center.

When was this NPI record last updated?

The NPPES record for Tiffany Stork was last updated on January 28, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.