Individual provider Active NPI

Tiffany Cragan, CRNP

  • Family Nurse Practitioner
  • Philipsburg, PA
National Provider Identifier
1154854149
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP017189 Issued in PA
Practice address
18 N Front St
Philipsburg, PA 16866-1602
Phone
(814) 342-2333
Fax
(814) 342-2277
NPI assigned
Apr 6, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X SP017189 PA
Family Nurse Practitioner 363LF0000X SP017189 PA Primary

Addresses

Primary practice location

18 N Front St
Philipsburg, PA 16866-1602

Mailing address

18 N Front St
Philipsburg, PA 16866-1602
Phone (814) 342-2333

Other practice location 1

100 Chestnut Ave
Altoona, PA 16601-4926
Phone (814) 201-5266

Other identifiers 1

IdentifierTypeStateIssuer
1035277580002MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20180208002434 PA Practitioner - Nurse Practitioner 6204196439 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Caring Healthcare NetworkGroup PAC ID 6002095254, 15 clinicians

Practice addresses (Care Compare)

100 Chestnut Ave
Altoona, PA 16601-4926
Phone (814) 201-5266

202 Memorial Dr
Suite 4
Everett, PA 15537-7057
Phone (814) 200-9780

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP017189PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Matrix Medical Plus CurrentSince Dec 1, 2022 Accepting new patients
Caring Healthcare Network Current Accepting new patients
Caring Healthcare Network Bedford, LLC CurrentSince Jan 14, 2025 Accepting new patients
Caring Healthcare Network CurrentSince May 1, 2019 Accepting new patients
Caring Healthcare Network CurrentSince May 1, 2019 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Altoona Speciality Center LLC Past Accepting new patients

Locations

9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883

100 Chestnut Ave
Altoona, PA 16601
Phone (814) 201-5266

202 Memorial Dr
Ste 4
Everett, PA 15537
Phone (412) 587-1355

100 S Juniper St
Fl 3
Philadelphia, PA 19107
Phone (267) 999-9534

18 N Front St
Philipsburg, PA 16866
Phone (814) 201-5266

187 Hospital Dr
Tyrone, PA 16686
Phone (814) 342-2333

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1491436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1154854149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 N FRONT ST",
            "city": "PHILIPSBURG",
            "state": "PA",
            "postal_code": "168661602",
            "telephone_number": "814-342-2333",
            "fax_number": "814-342-2277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 N FRONT ST",
            "city": "PHILIPSBURG",
            "state": "PA",
            "postal_code": "168661602",
            "telephone_number": "814-342-2333",
            "fax_number": "814-342-2277"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Chestnut Ave",
            "address_purpose": "LOCATION",
            "city": "Altoona",
            "state": "PA",
            "postal_code": "166014926",
            "country_code": "US",
            "telephone_number": "814-201-5266",
            "fax_number": "272-200-0242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRAGAN",
        "first_name": "TIFFANY",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-06",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "PA",
            "license": "SP017189",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP017189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1035277580002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philipsburg, PA

Sources for this page

Verify at the official NPI Registry.