Kelly D Tiffany, FNP - Medicare Nurse Practitioner in Bottineau, ND

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Kelly D Tiffany, FNP is a medicare enrolled "Nurse Practitioner - Family" in Bottineau, North Dakota. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice St Andrews Hospital and her current practice location is 314 Ohmer St, Bottineau, North Dakota. You can reach out to her office (for appointments etc.) via phone at (701) 228-9400.

Kelly D Tiffany is licensed to practice in North Dakota (license number R26835) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1962989459.

Contact Information

Kelly D Tiffany, FNP
314 Ohmer St,
Bottineau, ND 58318-1059
(701) 228-9400
Not Available

Map and Direction




Provider's Profile

Full NameKelly D Tiffany
GenderFemale
SpecialityNurse Practitioner
Experience6 Years
Location314 Ohmer St, Bottineau, North Dakota
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kelly D Tiffany graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1962989459
  • Provider Enumeration Date: 07/26/2018
  • Last Update Date: 07/26/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 6709135056
  • Enrollment ID: I20180820001087

Medical Identifiers

Medical identifiers for Kelly D Tiffany such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962989459NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family R26835 (North Dakota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Andrew's HospitalBottineau, NDHospital
Trinity HospitalsMinot, NDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St Andrews Hospital488050599914

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kelly D Tiffany allows following entities to bill medicare on her behalf.
Entity NameSt Andrews Hospital
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1801893706
PECOS PAC ID: 4880505999
Enrollment ID: O20110328000552
Entity NameSt Andrews Hospital
Entity TypePart B Supplier - Hospital Department(s)
Entity IdentifiersNPI Number: 1306903331
PECOS PAC ID: 4880505999
Enrollment ID: O20160107002139

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly D Tiffany is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kelly D Tiffany, FNP
314 Ohmer St,
Bottineau, ND 58318-1059

Ph: () -		Kelly D Tiffany, FNP
314 Ohmer St,
Bottineau, ND 58318-1059

Ph: (701) 228-9400

Reviews and Comments


Nurse Practitioner Nurses in Bottineau, ND

Tracy L Larson, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 314 Ohmer St, Bottineau, ND 58318
Phone: 701-228-9400    Fax: 701-228-9398
Mark E Koivula, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 516 Main St, Bottineau, ND 58318
Phone: 701-534-0109    Fax: 866-640-0723
Molly Sue Beyer, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 514 Thompson St, Bottineau, ND 58318
Phone: 701-201-0636    
Amanda Kay Dukart Beckman, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 314 Ohmer St, Bottineau, ND 58318
Phone: 701-228-9400    Fax: 701-228-9398
Ms. Brenda Marquardt, A.N.P.
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 516 Main St, Bottineau, ND 58318
Phone: 701-534-0109    Fax: 866-640-0723

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.