TIFFANY M PARKER
NPI 1982212312
Counselor - Professional in Fond Du Lac, WI

Active since July 22, 2020PECOS Enrolled
430 E DIVISION ST, FOND DU LAC, WI 54935(920) 926-4284 Get Directions Write a Review

NPPES record last updated: July 22, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Tiffany M Parker NPPES

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

TIFFANY M PARKER (NPI 1982212312) is an individual professional provider in Fond Du Lac, Wisconsin, licensed in Wisconsin (6335) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1982212312
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameTIFFANY M PARKER
Location Address430 E DIVISION STFond Du Lac, WI 54935-4560
Mailing Address430 E Division StFond Du Lac, WI 54935-4560
Sole ProprietorNo
Enumeration DateJuly 22, 2020
NPPES CertifiedJuly 22, 2020
✔ NPI 1982212312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in WI · 6335
430 E DIVISION ST, Fond Du Lac, WI 54935

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tiffany M Parker 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.

Medicare Billing Reassignment

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

Family Medicine
420 E DIVISION ST
Fond Du Lac, WI 54935
  • Reassigned Medicare billing, Wisconsin enrollment
  • 606 clinicians in this Medicare group

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 20

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

Counselor (Mental Health)
430 E DIVISION ST
FOND DU LAC, WI 54935
Pharmacist (Pharmacotherapy)
430 E DIVISION ST
FOND DU LAC, WI 54935
Specialist/Technologist, Other
430 E DIVISION ST
FOND DU LAC, WI 54935
Emergency Medicine
430 E DIVISION ST
FOND DU LAC, WI 54935
Speech-Language Pathologist
430 E DIVISION ST
FOND DU LAC, WI 54935
Internal Medicine
430 E DIVISION ST
FOND DU LAC, WI 54935
Nurse Practitioner
430 E DIVISION ST
FOND DU LAC, WI 54935
Nurse Anesthetist, Certified Registered
430 E DIVISION ST
FOND DU LAC, WI 54935

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 Parker's NPI number?

The NPI number for Tiffany Parker is 1982212312. It was assigned to this individual provider in the NPPES registry on July 22, 2020.

Where is Tiffany Parker located?

Tiffany Parker practices at 430 E Division St, Fond Du Lac, WI 54935. The listed phone number is (920) 926-4284.

What is Tiffany Parker's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Tiffany Parker enrolled in Medicare?

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

Which organization bills Medicare for Tiffany Parker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tiffany Parker reassigns Medicare benefits to Agnesian Healthcare Inc (Fond Du Lac, WI). 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 Parker'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 Parker was last updated on July 22, 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.