NPIMap

Individual provider Active NPI

Tiffany Susan Helmerich, APRN

  • Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1023482106
Registry record updated Apr 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3009839 Issued in KY
Practice address
3920 Dutchmans LN
Louisville, KY 40207-4702
Phone
(502) 259-6610
NPI assigned
Nov 30, 2015
Last updated
Apr 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3009839 KY
Nurse Practitioner 363L00000X 3009839 KY Primary

Addresses

Primary practice location

3920 Dutchmans LN
Louisville, KY 40207-4702

Mailing address

PO Box 909
Louisville, KY 40201-0909
Phone (502) 259-6610

Other identifiers 1

IdentifierTypeStateIssuer
7100377220MedicaidKY

Other names 1

  • Tiffany Susan Pate Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Helmerich.Tiffany.002@FAA.meditab.direct-ci.com PSF PLLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20151230002402 KY Practitioner - Nurse Practitioner 1355643735 Reassigns benefits to 1 organization
I20160906001720 IN Practitioner - Nurse Practitioner 1355643735 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of Louisville Physicians IncGroup PAC ID 3476725599, shared by 5 NPIs, 1,438 clinicians

Practice addresses (Care Compare)

1900 Bluegrass Ave
Louisville, KY 40215-1144
Phone (502) 583-8303

213 Hunter Station Rd
Sellersburg, IN 47172-1879
Phone (812) 248-2560

300 E Market St
Suite 490
Louisville, KY 40202-1959
Phone (502) 588-0480

3920 Dutchmans Lane
Suite 302
Louisville, KY 40207-4702
Phone (502) 583-8303

3920 Dutchmans LN
Louisville, KY 40207-4702

571 S Floyd St
Louisville, KY 40202-3818
Phone (502) 629-2398

900 Fairdale Rd
Fairdale, KY 40118-9731
Phone (502) 366-8778

9569 Taylorsville Rd
Suite 109
Louisville, KY 40299-2751
Phone (502) 261-0655

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.96 of 100Reported as group
Quality
56.12
Promoting interoperability
100
Improvement activities
40
Cost
73.73

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3009839KYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Louisville Physicians, Inc. CurrentSince Oct 1, 2022 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Apr 1, 2022 Accepting new patients
University of Louisville Physicians, Inc Current Accepting new patients
University of Louisville Physicians, Inc. Nurse Practitioner Current Accepting new patients
University of Louisville Phyisicians, Inc. Nurse Practitioner CurrentSince Apr 1, 2022 Accepting new patients
Inspired Medical Services, LLC CurrentSince Aug 22, 2016 Accepting new patients
University of Louisville Physicians, Inc. Past Accepting new patients

Locations

7752 Solution Ctr
Chicago, IL 60677

2051 Clevidence Blvd
Clarksville, IN 47129
Phone (812) 280-6650

207 Sparks Ave
Ste 401
Jeffersonvlle, IN 47130

213 Hunter Station Rd
Sellersburg, IN 47172
Phone (812) 248-2560

3920 Dutchmans Ln
Louisville, KY 40207
Phone (502) 259-6000

4121 Shelbyville Rd
Ste 2
Louisville, KY 40207

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

8109 Bardstown Rd
Louisville, KY 40291
Phone (502) 384-4555

9800 Shelbyville Rd
Ste 220
Louisville, KY 40223
Phone (502) 429-8585

234 Eastbrooke Pkwy
Mt Washington, KY 40047
Phone (502) 538-1241

Interoperability endpoints

  • Direct secure messaging: helmerich.tiffany.002@faa.meditab.direct-ci.com
  • Direct secure messaging: thelmerich31899@uoflhealth-dm.org

Organizations & group practices 7

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

Hospital & facility affiliations 22

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

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1448841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650326400000",
    "number": "1023482106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 909",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402010909",
            "telephone_number": "502-259-6610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920 DUTCHMANS LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074702",
            "telephone_number": "502-259-6610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELMERICH",
        "first_name": "TIFFANY",
        "middle_name": "SUSAN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-30",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3009839",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3009839",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100377220",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Helmerich.Tiffany.002@FAA.meditab.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "PSF PLLC",
            "address_1": "9800 Shelbyville RD",
            "address_2": "STE 220",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "40223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "PATE",
            "middle_name": "SUSAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.