TIFFANY K RICKERTSEN ARNP
NPI 1699024497
Nurse Practitioner - Pediatrics in Iowa City, IA

Q: What is Tiffany Rickertsen's NPI number?

The NPI number for Tiffany Rickertsen is 1699024497. It was assigned to this individual provider in the NPPES registry on September 7, 2012. The provider is also known as Tiffany K Petersen.

Q: What is Tiffany Rickertsen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Active since September 07, 2012PECOS Enrolled

200 HAWKINS DR, IOWA CITY, IA 52242(319) 356-1851(319) 356-4855 Get Directions Write a Review

NPPES record last updated: January 3, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Tiffany K Rickertsen Arnp NPPES

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

TIFFANY K RICKERTSEN ARNP (NPI 1699024497) is an individual pediatrics provider in Iowa City, Iowa, licensed in Iowa (A112954) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699024497

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameTIFFANY K RICKERTSENCredential: ARNP

Location Address200 HAWKINS DRIowa City, IA 52242-1009

Mailing Address200 Hawkins DrIowa City, IA 52242-1009 · (319) 356-1851 · Fax (319) 356-4855

Phone(319) 356-1851

Fax(319) 356-4855

Sole ProprietorNo

Enumeration DateSeptember 7, 2012

Last NPPES UpdateJanuary 3, 2022

NPPES CertifiedJanuary 3, 2022

✔ NPI 1699024497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in IA · A112954

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License A112954 (IA)

200 HAWKINS DR, Iowa City, IA 52242

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Other Names 1

Former Name (1)Tiffany K Petersen

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company, Sanford Health Plan, Wellmark Health Plan of Iowa, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tiffany K Rickertsen Arnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Tiffany Rickertsen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

State University Of Iowa

Same address

Dentist

200 HAWKINS DRIVE, 51300 POMERANTZ FAMILY PAVILION
Iowa City, IA 52242

Reassigned Medicare billing, Iowa enrollment
2,190 clinicians in this Medicare group

NPI 1114905387 (319) 356-2743

Signify Health Medical Associates, PLLC

669 mi

General Practice

4055 VALLEY VIEW LN STE 700
Dallas, TX 75244

Reassigned Medicare billing, Iowa enrollment
202 clinicians in this Medicare group

NPI 1750845863 (972) 715-3800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52242 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

$81.84 typical visit price

range $52.96 – $161.40

Typical copayment $20.46 (range $13.24 – $40.35)

Most-billed visit code 99203

Established Patient

$94.05 typical visit price

range $16.91 – $131.98

Typical copayment $23.51 (range $4.22 – $32.99)

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 20

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

SANGIL LEE M.D.

Emergency Medicine

200 HAWKINS DR
IOWA CITY, IA 52242

Johnson County (319) 356-2233

RAMI G. EL ABIAD M.D.

Internal Medicine (Gastroenterology)

200 HAWKINS DR
IOWA CITY, IA 52242

Johnson County (319) 356-4901

GRERK SUTAMTEWAGUL MD

Internal Medicine (Hematology & Oncology)

200 HAWKINS DR, DEPT OF INTERNAL MEDICINE
IOWA CITY, IA 52242

Johnson County (319) 356-1616

DR. KALEB TANNER VEIT D.O.

Internal Medicine (Critical Care Medicine)

200 HAWKINS DR
IOWA CITY, IA 52242

Johnson County (319) 356-2320

OMAR JABER M.D

Chronic Disease Hospital

200 HAWKINS DR
IOWA CITY, IA 52242

Johnson County (319) 471-8958

JENNIFER MANCUSO MS, CGC

Genetic Counselor, MS

200 HAWKINS DR, 31663 PFP
IOWA CITY, IA 52242

Johnson County (319) 384-7983

ASHLEY KAISER M.D.

Obstetrics & Gynecology

200 HAWKINS DR, DEPT OF OBGYN
IOWA CITY, IA 52242

Johnson County (319) 356-2294

MRS. NANCY JANE MILLICE

Health Educator

200 HAWKINS DR, 0733 JPP
IOWA CITY, IA 52242

Johnson County (319) 356-3825

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 Rickertsen's NPI number?

The NPI number for Tiffany Rickertsen is 1699024497. It was assigned to this individual provider in the NPPES registry on September 7, 2012. The provider is also known as Tiffany K Petersen.

Where is Tiffany Rickertsen located?

Tiffany Rickertsen practices at 200 Hawkins Dr, Iowa City, IA 52242. The listed phone number is (319) 356-1851.

What is Tiffany Rickertsen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Tiffany Rickertsen enrolled in Medicare?

Yes. Tiffany Rickertsen is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Tiffany Rickertsen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tiffany Rickertsen reassigns Medicare benefits to 2 organizations: State University Of Iowa (Iowa City, IA) and Signify Health Medical Associates, PLLC (Dallas, TX). 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 Rickertsen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tiffany Rickertsen accept?

Health plans from Oscar Insurance Company, Sanford Health Plan and Wellmark Health Plan of Iowa, Inc. list Tiffany Rickertsen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tiffany Rickertsen was last updated on January 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.