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

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: November 01, 2026.

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

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
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

Other Identifiers 1

Medicaid100231134WI

Accepted Insurance

Medicare Participation & PECOS CMS

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

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

Medicare Billing Reassignment

Medicare enrollment records show Tanner Duffy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Medicine
3301 W FOREST HOME AVE
Milwaukee, WI 53215
  • Reassigned Medicare billing, Wisconsin enrollment
  • 4,609 clinicians in this Medicare group

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

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.

Clinic/Center (Primary Care)
2900 W OKLAHOMA AVE
MILWAUKEE, WI 53215
Anesthesiology
2900 W OKLAHOMA AVE
MILWAUKEE, WI 53215
Hospitalist
2900 W OKLAHOMA AVE
MILWAUKEE, WI 53215
Nurse Practitioner
2900 W OKLAHOMA AVE
MILWAUKEE, WI 53215
Physician Assistant
2900 W OKLAHOMA AVE, 5TH FLOOR GALLERIA
MILWAUKEE, WI 53215
Nurse Practitioner
2900 W OKLAHOMA AVE
MILWAUKEE, WI 53215
Physical Therapist
2900 W OKLAHOMA AVE
MILWAUKEE, WI 53215
Pharmacist
2900 W OKLAHOMA AVE
MILWAUKEE, WI 53215

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.

Which organization bills Medicare for Tanner Duffy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tanner Duffy reassigns Medicare benefits to Aurora Medical Group, Inc. (Milwaukee, WI). The 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 Tanner Duffy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 7 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.