Individual provider Active NPI

Tiffany J. Vorderstrasse, FNP

  • Family Nurse Practitioner
  • St. Joseph, MO
National Provider Identifier
1003114802
Registry record updated Dec 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2011006710 Issued in MO
Practice address
105 Far West Dr.
Ste. 105
St. Joseph, MO 64506-3514
Phone
(816) 271-8110
Fax
(816) 271-8104
NPI assigned
Mar 3, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2011006710 MO Primary

Addresses

Primary practice location

105 Far West Dr.
Ste. 105
St. Joseph, MO 64506-3514

Mailing address

105 Far West Dr Ste 105
Saint Joseph, MO 64506-3514
Phone (816) 271-8115

Other identifiers 2

IdentifierTypeStateIssuer
200691530AMedicaidKS
1003114802MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110405000982 MO Practitioner - Nurse Practitioner 1759565328 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heartland Regional Medical CenterGroup PAC ID 6709772767, 394 clinicians

Practice addresses (Care Compare)

105 Far W Dr
100 Mosaic Life Care
St Joseph, MO 64506-3514
Phone (816) 271-8110

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.76 of 100Reported as group
Quality
74.35
Promoting interoperability
100
Improvement activities
40
Cost
74.85

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Heartland Regional Medical Center CurrentSince Mar 7, 2011 Accepting new patients
Heartland Regional Medical Center CurrentSince Mar 7, 2011 Accepting new patients
Heartland Regional Medical Center Current Accepting new patients

Locations

105 Far West Dr
Ste 105
Saint Joseph, MO 64506
Phone (816) 271-8110

901 Heartland Rd
Ste 2800
Saint Joseph, MO 64506
Phone (816) 271-1213

5301 Faraon St
Ste 120
Saint Joseph, MO 64506
Phone (816) 271-6406

5202 Faraon St
Ste A
Saint Joseph, MO 64506
Phone (816) 271-1070

105 Far West Dr
Ste 100
Saint Joseph, MO 64506
Phone (816) 271-8110

Interoperability endpoints

  • Direct secure messaging: tiffany.vorderstrasse@direct.mymlc.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1299110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512950400000",
    "number": "1003114802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 FAR WEST DR STE 105",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645063514",
            "telephone_number": "816-271-8115",
            "fax_number": "816-271-8104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 FAR WEST DR.",
            "address_2": "STE. 105",
            "city": "ST. JOSEPH",
            "state": "MO",
            "postal_code": "645063514",
            "telephone_number": "816-271-8110",
            "fax_number": "816-271-8104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VORDERSTRASSE",
        "first_name": "TIFFANY",
        "middle_name": "J.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-03",
        "last_updated": "2017-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2011006710",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200691530A",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003114802",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St. Joseph, MO

Sources for this page

Verify at the official NPI Registry.