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DR. TIFFANY MARTINEZ DNP, PMHNP-BC
NPI 1861341919
Nurse Practitioner - Psychiatric/Mental Health in Berwyn, IL

Active since January 22, 2026PECOS Enrolled
6201 ROOSEVELT RD, BERWYN, IL 60402(708) 386-0845 Get Directions Write a Review

NPPES record last updated: January 22, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Tiffany Martinez Dnp, Pmhnp-bc NPPES

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

DR. TIFFANY MARTINEZ DNP, PMHNP-BC (NPI 1861341919) is an individual psychiatric/mental health provider in Berwyn, Illinois, licensed in Illinois (209034373) and active in the NPI registry since January 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1861341919
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameDR. TIFFANY MARTINEZCredential: DNP, PMHNP-BC
Location Address6201 ROOSEVELT RDBerwyn, IL 60402-1108
Mailing Address5734 Harvey AveLa Grange Highlands, IL 60525-7008 · (630) 359-7788
Phone(708) 386-0845
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJanuary 22, 2026
NPPES CertifiedJanuary 21, 2026
✔ NPI 1861341919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in IL · 209034373
6201 ROOSEVELT RD, Berwyn, IL 60402
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Tiffany Martinez Dnp, Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4183109879
PECOS Enrollment IDI20260331001901
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.

Medicare Billing Reassignment

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

Pcc Community Wellness Center
1.6 mi
Federally Qualified Health Center (FQHC)
14 LAKE ST
Oak Park, IL 60302
  • Reassigned Medicare billing, Illinois enrollment
  • 221 clinicians in this Medicare group
NPI 1871516799 (708) 383-0113

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60402 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
Most-billed visit code 99214
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.

DAMARIS VELAZQUEZ LCSW
Social Worker (Clinical)
6201 ROOSEVELT RD
BERWYN, IL 60402
Cook County (708) 386-0845
MARY SOMMERS CNM
Midwife
6201 ROOSEVELT RD
BERWYN, IL 60402
Cook County (708) 386-0845
LESLEY KENNEDY
Doula
6201 ROOSEVELT RD
BERWYN, IL 60402
Cook County (708) 386-0845
CHANDRA A MATTESON NP-C
Nurse Practitioner (Family)
6201 ROOSEVELT RD
BERWYN, IL 60402
Cook County (708) 386-0845
RACHEL JEAN BERNARDO DO
Family Medicine
6201 ROOSEVELT RD
BERWYN, IL 60402
Cook County (773) 295-3500
RIKKI GRIEVES RN
Registered Nurse
6201 ROOSEVELT RD
BERWYN, IL 60402
Cook County (708) 386-0845
CANDICE SHERLOCK RDH
Dental Hygienist
6201 ROOSEVELT RD
BERWYN, IL 60402
Cook County (708) 386-0845
ELIZABETH ANNE DOWELL MD
Family Medicine
6201 ROOSEVELT RD
BERWYN, IL 60402
Cook County (708) 386-0845

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 Martinez's NPI number?

The NPI number for Tiffany Martinez is 1861341919. It was assigned to this individual provider in the NPPES registry on January 22, 2026.

Where is Tiffany Martinez located?

Tiffany Martinez practices at 6201 Roosevelt Rd, Berwyn, IL 60402. The listed phone number is (708) 386-0845.

What is Tiffany Martinez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Tiffany Martinez enrolled in Medicare?

Yes. Tiffany Martinez is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tiffany Martinez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tiffany Martinez reassigns Medicare benefits to Pcc Community Wellness Center (Oak Park, IL). 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 Tiffany Martinez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Tiffany Martinez was last updated on January 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.