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KELLY D TIFFANY FNP
NPI 1962989459
Nurse Practitioner - Family in Bottineau, ND

Active since July 26, 2018PECOS EnrolledAccepts Medicare Assignment
314 OHMER ST, BOTTINEAU, ND 58318(701) 228-9400 Get Directions Write a Review

NPPES record last updated: July 26, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kelly D Tiffany Fnp NPPES

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

KELLY D TIFFANY FNP (NPI 1962989459) is an individual family provider in Bottineau, North Dakota, licensed in North Dakota (R26835) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS, is affiliated with Trinity Hospitals, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1962989459
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELLY D TIFFANYCredential: FNP
Location Address314 OHMER STBottineau, ND 58318-1059
Mailing Address314 Ohmer StBottineau, ND 58318-1059
Phone(701) 228-9400
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJuly 26, 2018
✔ NPI 1962989459 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 ND · R26835
314 OHMER ST, Bottineau, ND 58318
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Medica, Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kelly D Tiffany Fnp 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 ID6709135056
PECOS Enrollment IDI20180820001087
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.

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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
29 services19 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Trinity Hospitals

Acute Care Hospitals · Minot, ND
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number350006
Location407 3rd St SEMinot, ND 58701 · Ward County
Emergency services Birthing friendly

St Andrew's Hospital

Critical Access Hospitals · Bottineau, ND
OwnershipVoluntary non-profit - Church
CMS Certification Number351307
Location316 Ohmer StreetBottineau, ND 58318 · Bottineau County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58318 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
$85.71 typical visit price
range $55.75 – $168.12
Typical copayment $21.42 (range $13.93 – $42.03)
Most-billed visit code 99203
Established Patient
$98.29 typical visit price
range $18.11 – $137.65
Typical copayment $24.57 (range $4.52 – $34.41)
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 4

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers31 claims74 services$6.16 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier19 claims19 services$119.65 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
1 supplier11 claims1,800 services$0.03 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
1 supplier18 claims18 services$26.02 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 6

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

TRACY L LARSON NP
Nurse Practitioner (Family)
314 OHMER ST
BOTTINEAU, ND 58318
Bottineau County (701) 228-9400
PHARMACISTS ASSOCIATES LLC
Pharmacy (Community/Retail Pharmacy)
314 OHMER ST
BOTTINEAU, ND 58318
Bottineau County (701) 228-2220
ST. ANDREW'S HOSPITAL
Clinic/Center (Rural Health)
314 OHMER ST
BOTTINEAU, ND 58318
Bottineau County (701) 228-9400
ST. ANDREW'S BOTTINEAU CLINIC, LLC
Specialist
314 OHMER ST
BOTTINEAU, ND 58318
Bottineau County (701) 228-9400
AMANDA KAY DUKART BECKMAN FNP
Nurse Practitioner (Family)
314 OHMER ST
BOTTINEAU, ND 58318
Bottineau County (701) 228-9400
ST. ANDREW'S BOTTINEAU CLINIC, LLC
Clinic/Center (Rural Health)
314 OHMER ST
BOTTINEAU, ND 58318
Bottineau County (701) 228-9400

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 Kelly Tiffany's NPI number?

The NPI number for Kelly Tiffany is 1962989459. It was assigned to this individual provider in the NPPES registry on July 26, 2018.

Where is Kelly Tiffany located?

Kelly Tiffany practices at 314 Ohmer St, Bottineau, ND 58318. The listed phone number is (701) 228-9400.

What is Kelly Tiffany's specialty?

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

Is Kelly Tiffany enrolled in Medicare?

Yes. Kelly Tiffany 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.

What insurance does Kelly Tiffany accept?

Health plans from Blue Cross Blue Shield of North Dakota, Medica and Sanford Health Plan list Kelly Tiffany 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 Kelly Tiffany affiliated with any hospitals?

According to CMS data, Kelly Tiffany is affiliated with Trinity Hospitals and St Andrew's Hospital.

When was this NPI record last updated?

The NPPES record for Kelly Tiffany was last updated on July 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.