Individual provider Active NPI

Tori Ann Haffner

  • Family Nurse Practitioner
  • Elgin, IL
National Provider Identifier
1093684227
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
17594-33 Issued in WI
Practice address
1530 N Randall Rd
Elgin, IL 60123-7877
Phone
(224) 760-7322
NPI assigned
Nov 4, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

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 17594-33 WI Primary

Addresses

Primary practice location

1530 N Randall Rd
Elgin, IL 60123-7877

Mailing address

3140 Bennett CT
Oshkosh, WI 54904-6949
Phone (651) 356-2602

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20251126002818 WI Practitioner - Nurse Practitioner 8527550466

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3140 Bennett CT
Oshkosh, WI 54904-6949

PO Box
Bedford Park, IL 60499

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17594-33WIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Chestnut Medicine of Wi LTD CurrentSince Nov 5, 2025 Accepting new patients

Locations

18740 W Bluemound Rd
Brookfield, WI 53045
Phone (262) 782-0230

3100 Washington Rd
Kenosha, WI 53144
Phone (262) 658-4039

1451 Cleveland Ave
Waukesha, WI 53186
Phone (262) 547-2123

5301 W Lincoln Ave
West Allis, WI 53219
Phone (414) 615-7200

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1762214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762214400000",
    "number": "1093684227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3140 BENNETT CT",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549046949",
            "telephone_number": "651-356-2602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 N RANDALL RD",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601237877",
            "telephone_number": "224-760-7322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAFFNER",
        "first_name": "TORI",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-04",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "17594-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

Verify at the official NPI Registry.