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TIFFANY HENDRICKSON APRN
NPI 1891284469
Nurse Practitioner - Family in Park City, IL

Active since May 09, 2018PECOS Enrolled
401 GREENLEAF ST STE 1, PARK CITY, IL 60085(847) 662-0978 Get Directions Write a Review

NPPES record last updated: December 20, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 20, 2024, Feb 15, 2023, Mar 31, 2021 and 6 more (9 updates tracked since 2018).

About Tiffany Hendrickson Aprn NPPES

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

TIFFANY HENDRICKSON APRN (NPI 1891284469) is an individual family provider in Park City, Illinois, licensed in Illinois (209027553) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891284469
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTIFFANY HENDRICKSONCredential: APRN
Location Address401 GREENLEAF ST STE 1Park City, IL 60085-5744
Mailing Address401 Greenleaf St Ste 1Park City, IL 60085-5744 · (847) 662-0978
Phone(847) 662-0978
Sole ProprietorNo
Enumeration DateMay 9, 2018
Last NPPES UpdateDecember 20, 20249 updates tracked since enumeration
NPPES CertifiedDecember 20, 2024
✔ NPI 1891284469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IL · 209027553
401 GREENLEAF ST STE 1, Park City, IL 60085
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tiffany Hendrickson Aprn 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 60085 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
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
2 suppliers69 claims69 services$44.58 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

GREENLEAF PHARMACY INC
Pharmacy (Community/Retail Pharmacy)
401 GREENLEAF ST STE 1
PARK CITY, IL 60085
Lake County (847) 242-8267
MARLIN CERVANTES APRN, FNP-BC
Nurse Practitioner (Family)
401 GREENLEAF ST STE 1
PARK CITY, IL 60085
Lake County (847) 662-0978

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 Hendrickson's NPI number?

The NPI number for Tiffany Hendrickson is 1891284469. It was assigned to this individual provider in the NPPES registry on May 9, 2018.

Where is Tiffany Hendrickson located?

Tiffany Hendrickson practices at 401 Greenleaf St Ste 1, Park City, IL 60085. The listed phone number is (847) 662-0978.

What is Tiffany Hendrickson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Tiffany Hendrickson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Tiffany Hendrickson was last updated on December 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.