TIFFANY VAN BROCKLEN
NPI 1750979522
Nurse Practitioner - Family in Schenectady, NY
About Tiffany Van Brocklen NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TIFFANY VAN BROCKLEN (NPI 1750979522) is an individual family provider in Schenectady, New York, licensed in New York (F355107-01) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS, is affiliated with St Mary's Healthcare, and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses 2
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 Van Brocklen 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.
Areas of Expertise CMS Part B claims
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Mary's Healthcare
Acute Care Hospitals · Amsterdam, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 12304 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Van Brocklen's NPI number?
The NPI number for Tiffany Van Brocklen is 1750979522. It was assigned to this individual provider in the NPPES registry on January 6, 2021.
Where is Tiffany Van Brocklen located?
Tiffany Van Brocklen practices at 3277 Mcdonald Ave, Schenectady, NY 12304. The listed phone number is (518) 682-7666.
What is Tiffany Van Brocklen's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Tiffany Van Brocklen enrolled in Medicare?
Yes. Tiffany Van Brocklen 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 Van Brocklen affiliated with any hospitals?
According to CMS data, Tiffany Van Brocklen is affiliated with St Mary's Healthcare.
When was this NPI record last updated?
The NPPES record for Tiffany Van Brocklen was last updated on April 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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 Van Brocklen · NPI 1750979522
Family physician in Schenectady, New York. Individual provider, active in the CMS NPPES registry since January 6, 2021.
## Identity
- **NPI:** 1750979522 (Entity type: Individual)
- **Enumerated:** January 6, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** F355107-01 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3277 MCDONALD AVE, Schenectady, NY 12304-3940
- **Phone:** (518) 682-7666
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** April 8, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1750979522) · Data from the CMS NPPES public registry.