TIFFANY REA PETERSEN NP
NPI 1609547363
Nurse Practitioner - Adult Health in Albany, NY
About Tiffany Rea Petersen Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TIFFANY REA PETERSEN NP (NPI 1609547363) is an individual adult health provider in Albany, New York, licensed in New York (310890) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS, maintains 9 additional practice locations, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 9
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tiffany Rea Petersen Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
10Medicare enrollment records show Tiffany Petersen reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Albany, NY 12208
- Reassigned Medicare billing, New York enrollment
- 742 clinicians in this Medicare group
Albany, NY 12208
- Reassigned Medicare billing, New York enrollment
- 19 clinicians in this Medicare group
Slingerlands, NY 12159
- Reassigned Medicare billing, New York enrollment
- 22 clinicians in this Medicare group
Guilderland, NY 12084
- Reassigned Medicare billing, New York enrollment
- 20 clinicians in this Medicare group
Troy, NY 12180
- Reassigned Medicare billing, New York enrollment
- 21 clinicians in this Medicare group
Troy, NY 12180
- Reassigned Medicare billing, New York enrollment
- 21 clinicians in this Medicare group
Cohoes, NY 12047
- Reassigned Medicare billing, New York enrollment
- 21 clinicians in this Medicare group
Schenectady, NY 12308
- Reassigned Medicare billing, New York enrollment
- 105 clinicians in this Medicare group
Clifton Park, NY 12065
- Reassigned Medicare billing, New York enrollment
- 21 clinicians in this Medicare group
Ballston Lake, NY 12019
- Reassigned Medicare billing, New York enrollment
- 456 clinicians in this Medicare group
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 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 12208 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Petersen's NPI number?
The NPI number for Tiffany Petersen is 1609547363. It was assigned to this individual provider in the NPPES registry on September 22, 2021.
Where is Tiffany Petersen located?
Tiffany Petersen practices at 315 S Manning Blvd, Albany, NY 12208. The listed phone number is (185) 252-7957.
What is Tiffany Petersen's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Tiffany Petersen enrolled in Medicare?
Yes. Tiffany Petersen is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Tiffany Petersen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tiffany Petersen reassigns Medicare benefits to 10 organizations: St. Peter's Health Partners Medical Associates, P.C. (Albany, NY), Villa Mary Immaculate (Albany, NY), Beverwyck, Inc (Slingerlands, NY), Our Lady Of Mercy Life Center (Guilderland, NY), The James A. Eddy Memorial Geriatric Center, Inc. (Troy, NY) and 5 more organizations, listed in the Medicare section above. 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 Petersen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Tiffany Petersen was last updated on August 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Tiffany Rea Petersen, NP · NPI 1609547363
Adult Health physician in Albany, New York. Individual provider, active in the CMS NPPES registry since September 22, 2021.
## Identity
- **NPI:** 1609547363 (Entity type: Individual)
- **Enumerated:** September 22, 2021
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** 310890 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 315 S MANNING BLVD, Albany, NY 12208-1707
- **Phone:** (185) 252-7957
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 10 organizations under Medicare reassignment (form CMS-855R): St. Peter's Health Partners Medical Associates, P.C. (NPI 1174954606, Albany, NY); Villa Mary Immaculate (NPI 1144215625, Albany, NY); Beverwyck, Inc (NPI 1619282704, Slingerlands, NY); Our Lady Of Mercy Life Center (NPI 1972598290, Guilderland, NY); The James A. Eddy Memorial Geriatric Center, Inc. (NPI 1609820265, Troy, NY); and 5 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** August 7, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1609547363) · Data from the CMS NPPES public registry.