TIFFANY J PORTER FNP
NPI 1679019301
Nurse Practitioner - Family in Blue Island, IL

Active since January 19, 2017Opted out of Medicare · through Apr 25, 2027
12200 WESTERN AVE, BLUE ISLAND, IL 60406(630) 581-5372 Get Directions Write a Review

NPPES record last updated: June 5, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 5, 2019, Feb 26, 2019, Jan 19, 2017 (3 updates tracked since 2017).

About Tiffany J Porter Fnp NPPES

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

TIFFANY J PORTER FNP (NPI 1679019301) is an individual family provider in Blue Island, Illinois, licensed in Illinois (209015112) and active in the NPI registry since January 2017. She has opted out of Medicare through April 25, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1679019301
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTIFFANY J PORTERCredential: FNP
Location Address12200 WESTERN AVEBlue Island, IL 60406-1398
Mailing Address1301 Fox Meadow CtSt Charles, IL 60174-1670 · (630) 915-8693
Sole ProprietorYes
Enumeration DateJanuary 19, 2017
Last NPPES UpdateJune 5, 20193 updates tracked since enumeration
NPI 1679019301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in IL · 209015112
Also ListedClinical Nurse Specialist · Family HealthTaxonomy 364SF0001X · License 209015112 (IL)
12200 WESTERN AVE, Blue Island, IL 60406

Other Names 1

Other Name (5)Tiffany Nitti Fnp

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Tiffany J Porter Fnp has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 25, 2025 through April 25, 2027.

Opt-Out Effective DateApril 25, 2025
Opt-Out In Effect ThroughApril 25, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60406 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
12200 WESTERN AVE
BLUE ISLAND, IL 60406
Internal Medicine
12200 WESTERN AVE
BLUE ISLAND, IL 60406
Clinic/Center (Urgent Care)
12200 WESTERN AVE
BLUE ISLAND, IL 60406
Dentist
12200 WESTERN AVE
BLUE ISLAND, IL 60406
Nurse Practitioner (Family)
12200 WESTERN AVE
BLUE ISLAND, IL 60406
Dentist (General Practice)
12200 WESTERN AVE, #108
BLUE ISLAND, IL 60406
Dentist
12200 WESTERN AVE
BLUE ISLAND, IL 60406
Dentist (General Practice)
12200 WESTERN AVE, SUITE 108
BLUE ISLAND, IL 60406

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 Porter's NPI number?

The NPI number for Tiffany Porter is 1679019301. It was assigned to this individual provider in the NPPES registry on January 19, 2017. The provider is also known as Tiffany Nitti Fnp.

Where is Tiffany Porter located?

Tiffany Porter practices at 12200 Western Ave, Blue Island, IL 60406. The listed phone number is (630) 581-5372.

What is Tiffany Porter's specialty?

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

Is Tiffany Porter enrolled in Medicare?

No. Tiffany Porter has opted out of Medicare through April 25, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Tiffany Porter was last updated on June 5, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.