MS. TIFFANY A CLARK PAC
NPI 1831132406
Physician Assistant in Albert Lea, MN

Q: What is Tiffany Clark's NPI number?

The NPI number for Tiffany Clark is 1831132406. It was assigned to this individual provider in the NPPES registry on June 13, 2006. The provider is also known as Tiffany C Hirsch Pac.

Q: What is Tiffany Clark's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Tiffany Clark was last updated on July 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since June 13, 2006PECOS Enrolled

404 W FOUNTAIN ST, ALBERT LEA, MN 56007(507) 373-2384 Get Directions Write a Review

NPPES record last updated: July 28, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 28, 2020, Jan 9, 2018 (2 updates tracked since 2018).

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About Ms. Tiffany A Clark Pac NPPES

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

MS. TIFFANY A CLARK PAC (NPI 1831132406) is an individual physician assistant in Albert Lea, Minnesota, licensed in Minnesota (12149) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1831132406

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMS. TIFFANY A CLARKCredential: PAC

Location Address404 W FOUNTAIN STAlbert Lea, MN 56007-2437

Mailing Address404 W Fountain StAlbert Lea, MN 56007-2437 · (507) 377-6285

Phone(507) 373-2384

Sole ProprietorNo

Enumeration DateJune 13, 2006

Last NPPES UpdateJuly 28, 20202 updates tracked since enumeration

NPPES CertifiedJuly 28, 2020

✔ NPI 1831132406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in MN · 12149✔ Licensed in CA · PA16777

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

404 W FOUNTAIN ST, Albert Lea, MN 56007

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Other Names 1

Former Name (1)Tiffany C Hirsch Pac

Other Identifiers 1

MedicaidPA16777CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Tiffany A Clark Pac 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56007 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

Most-billed visit code 99213

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.

TYLER SCOTT OESTERLE MD

Psychiatry & Neurology (Psychiatry)

404 W FOUNTAIN ST, MCHS-ALBERT LEA AUSTIN
ALBERT LEA, MN 56007

Freeborn County (507) 373-2384

JEFFREY PAUL LOTTS M.D.

Surgery