TANNER JACK DUFFY AA
NPI 1770282873
Anesthesiologist Assistant in Milwaukee, WI

Q: What is Tanner Duffy's NPI number?

The NPI number for Tanner Duffy is 1770282873. It was assigned to this individual provider in the NPPES registry on February 27, 2023.

Q: What is Tanner Duffy's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Q: When was this NPI record last updated?

The NPPES record for Tanner Duffy was last updated on March 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since February 27, 2023Accepts Medicare Assignment

2900 W OKLAHOMA AVE, MILWAUKEE, WI 53215(414) 649-6000 Get Directions Write a Review

NPPES record last updated: March 23, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 23, 2026, May 19, 2023, Feb 27, 2023 (3 updates tracked since 2023).

On this page

About Tanner Jack Duffy Aa NPPES

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

TANNER JACK DUFFY AA (NPI 1770282873) is an individual anesthesiologist assistant in Milwaukee, Wisconsin, licensed in Wisconsin (527-17) and active in the NPI registry since February 2023. He is affiliated with Aurora St Lukes Medical Center and is a graduate of Medical College Of Wisconsin (2022).

NPPES Registry Identity

NPI1770282873

Entity TypeIndividualMale

Primary Taxonomy367H00000X

Provider Legal NameTANNER JACK DUFFYCredential: AA

Location Address2900 W OKLAHOMA AVEMilwaukee, WI 53215-4330

Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250

Phone(414) 649-6000

Sole ProprietorNo

Medical School CMSMedical College Of WisconsinGraduated 2022

Enumeration DateFebruary 27, 2023

Last NPPES UpdateMarch 23, 20263 updates tracked since enumeration

NPPES CertifiedMarch 23, 2026

✔ NPI 1770282873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367H00000X

License✔ Licensed in WI · 527-17

Definition

An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

2900 W OKLAHOMA AVE, Milwaukee, WI 53215

Open in Google Maps ↗

Other Identifiers 1

Medicaid100231134WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare).Insurance ›

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

Tanner Jack Duffy Aa 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 ID2264806801

PECOS Enrollment IDI20230321002173

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.

Anesthesia for other procedure on large bowel using an endoscope 00811

Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.

13 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Aurora St Lukes Medical Center

Acute Care Hospitals · Milwaukee, WI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520138

Location2900 W Oklahoma AveMilwaukee, WI 53215 · Milwaukee County

Emergency services Birthing friendly

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.

MUHAMMAD AKBAR MD LLC

Clinic/Center (Primary Care)

2900 W OKLAHOMA AVE
MILWAUKEE, WI 53215

Milwaukee County (414) 365-3210

DR. JEFFREY T LYVERS M.D.

Anesthesiology

2900 W OKLAHOMA AVE
MILWAUKEE, WI 53215

Milwaukee County (414) 649-6000

RANA MOHAMMED AL RUBAYE MD

Hospitalist

2900 W OKLAHOMA AVE
MILWAUKEE, WI 53215

Milwaukee County (414) 649-6000

JESSICA MCDOWELL

Nurse Practitioner

2900 W OKLAHOMA AVE
MILWAUKEE, WI 53215

Milwaukee County (414) 649-5279

MARA STASIK PA-C

Physician Assistant

2900 W OKLAHOMA AVE, 5TH FLOOR GALLERIA
MILWAUKEE, WI 53215

Milwaukee County (414) 646-2550

SARAH J PARVE NP

Nurse Practitioner

2900 W OKLAHOMA AVE
MILWAUKEE, WI 53215

Milwaukee County (414) 649-6000

DR. RILEY MARINELLI PT, DPT

Physical Therapist

2900 W OKLAHOMA AVE
MILWAUKEE, WI 53215

Milwaukee County (414) 649-6011

ASHLEY MARIE ALTER PHARMD

Pharmacist

2900 W OKLAHOMA AVE
MILWAUKEE, WI 53215

Milwaukee County (414) 649-6930

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 Tanner Duffy's NPI number?

The NPI number for Tanner Duffy is 1770282873. It was assigned to this individual provider in the NPPES registry on February 27, 2023.

Where is Tanner Duffy located?

Tanner Duffy practices at 2900 W Oklahoma Ave, Milwaukee, WI 53215. The listed phone number is (414) 649-6000.

What is Tanner Duffy's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Is Tanner Duffy enrolled in Medicare?

Yes. Tanner Duffy 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.

What insurance does Tanner Duffy accept?

Health plans from CareSource (Common Ground Healthcare) list Tanner Duffy 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.

Is Tanner Duffy affiliated with any hospitals?

According to CMS data, Tanner Duffy is affiliated with Aurora St Lukes Medical Center.

When was this NPI record last updated?

The NPPES record for Tanner Duffy was last updated on March 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.