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DR. TIFFANY ANN WILLARD D.C.
NPI 1861522195
Chiropractor in Moline, IL

Active since March 06, 2007Accepts Medicare Assignment
1715 5TH AVE, MOLINE, IL 61265(309) 762-1050(309) 762-1064 Get Directions Write a Review

NPPES record last updated: February 6, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Tiffany Ann Willard D.c. NPPES

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

DR. TIFFANY ANN WILLARD D.C. (NPI 1861522195) is an individual chiropractor in Moline, Illinois, licensed in Illinois (038-010770) and active in the NPI registry since March 2007. She is a graduate of Palmer College Chiropractic - Davenport (2005).

NPPES Registry Identity

NPI1861522195
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameDR. TIFFANY ANN WILLARDCredential: D.C.
Location Address1715 5TH AVEMoline, IL 61265-7911
Mailing Address1715 5th AveMoline, IL 61265-7911 · (309) 762-1050 · Fax (309) 762-1064
Phone(309) 762-1050
Fax(309) 762-1064
Sole ProprietorYes
Medical School CMSPalmer College Chiropractic - DavenportGraduated 2005
Enumeration DateMarch 6, 2007
Last NPPES UpdateFebruary 6, 2025
NPPES CertifiedFebruary 6, 2025
✔ NPI 1861522195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in IL · 038-010770
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
1715 5TH AVE, Moline, IL 61265
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Other Names 1

Former Name (1)Dr. Tiffany Ann Zimmerman Dc

Other Identifiers 2

OtherK39525IL · Medicare #
Other4532305IL · Blue Cross Id#

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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

Dr. Tiffany Ann Willard D.c. 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 ID2062513534
PECOS Enrollment IDI20070727000426

Medicare Billing Reassignment

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

Tiffany Zimmerman Dc PC
0.2 mi
Chiropractor
610 19TH ST
Moline, IL 61265
  • Reassigned Medicare billing, Illinois enrollment
NPI 1306085428 (309) 762-1050

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

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. GERALDINE MARIE KRUCKENBERG DC
Chiropractor
1715 5TH AVE
MOLINE, IL 61265
Rock Island County (309) 764-9255
DR. RICHARD GARY FRIED D.C.
Chiropractor (Sports Physician)
1715 5TH AVE
MOLINE, IL 61265
Rock Island County (309) 762-1050

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 Willard's NPI number?

The NPI number for Tiffany Willard is 1861522195. It was assigned to this individual provider in the NPPES registry on March 6, 2007. The provider is also known as Dr. Tiffany Ann Zimmerman Dc.

Where is Tiffany Willard located?

Tiffany Willard practices at 1715 5th Ave, Moline, IL 61265. The listed phone number is (309) 762-1050.

What is Tiffany Willard's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Tiffany Willard enrolled in Medicare?

Yes. Tiffany Willard 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 Tiffany Willard's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tiffany Willard reassigns Medicare benefits to Tiffany Zimmerman Dc PC (Moline, 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 Willard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tiffany Willard accept?

Health plans from Providence Health Plan list Tiffany Willard 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.

When was this NPI record last updated?

The NPPES record for Tiffany Willard was last updated on February 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.