TIFFANY VAN BROCKLEN
NPI 1750979522
Nurse Practitioner - Family in Schenectady, NY

Active since January 06, 2021PECOS EnrolledAccepts Medicare Assignment
3277 MCDONALD AVE, SCHENECTADY, NY 12304(518) 682-7666 Get Directions Write a Review

NPPES record last updated: April 8, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 8, 2025, Jan 6, 2021 (2 updates tracked since 2021).

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

NPI1750979522
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTIFFANY VAN BROCKLEN
Location Address3277 MCDONALD AVESchenectady, NY 12304-3940
Mailing Address3277 Mcdonald AveSchenectady, NY 12304-3940 · (518) 682-7666
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateJanuary 6, 2021
Last NPPES UpdateApril 8, 20252 updates tracked since enumeration
NPPES CertifiedApril 8, 2025
NPI 1750979522 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 NY · F355107-01
Also ListedRegistered Nurse · Home HealthTaxonomy 163WH0200X · License 718818 (NY)
3277 MCDONALD AVE, Schenectady, NY 12304

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.

PECOS PAC ID8628505351
PECOS Enrollment IDI20241219001949
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.

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Emergency department visit with high level of medical decision making

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

This service was performed 18 times for 18 patients

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $21.23 for a new patient copayment and $24.27 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 12304 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $84.93
  • Minimum New Patient Price $54.87
  • Maximum New Patient Price $166.88
  • Average New Patient Copayment $21.23
  • Minimum New Patient Copayment $13.71
  • Maximum New Patient Copayment $41.72

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $97.08
  • Minimum Established Patient Price $17.54
  • Maximum Established Patient Price $136.14
  • Average Established Patient Copayment $24.27
  • Minimum Established Patient Copayment $4.38
  • Maximum Established Patient Copayment $34.03

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Tiffany Van Brocklen is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
ST MARY'S HEALTHCARE427 GUY PARK AVENUE
AMSTERDAM, NY 12010
(518) 841-7101Acute Care Hospitals

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750979522, enumerated as an "individual" on January 06, 2021.

The provider is located at 3277 MCDONALD AVE SCHENECTADY, NY 12304 and the phone number is (518) 682-7666.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

Tiffany Van Brocklen is affiliated with: ST MARY'S HEALTHCARE.