Individual provider Active NPI

Tiffany Diane Bailey, FNP

  • Family Nurse Practitioner
  • Minnetonka, MN
National Provider Identifier
1174069348
Registry record updated Jul 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP9780 Issued in AZ
Practice address
9900 Bren Road East
Mail Route MN 008-B213
Minnetonka, MN 55343
Phone
(520) 466-7883
NPI assigned
Jan 12, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2020

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 AP9780 AZ Primary

Addresses

Primary practice location

9900 Bren Road East
Mail Route MN 008-B213
Minnetonka, MN 55343

Mailing address

205 N Stuart Blvd
Eloy, AZ 85131-2507
Phone (520) 466-7883

Other identifiers 1

IdentifierTypeStateIssuer
236931MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, CA, HI3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20170221002351 AZ Practitioner - Nurse Practitioner 8022392976 Reassigns benefits to 4 organizations
I20250221002448 CA Practitioner - Nurse Practitioner 8022392976 Reassigns benefits to 1 organization
I20250805003334 HI Practitioner - Nurse Practitioner 8022392976 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

Practice addresses (Care Compare)

3431 W Frye Rd
Ste4, Unit 123
Chandler, AZ 85226-4976
Phone (480) 490-4400

Merit-based Incentive Payment System (MIPS)

Final score
88.97 of 100Reported as group
Quality
63.74
Promoting interoperability
100
Improvement activities
40
Cost
89.91

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP9780AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
U Medical PLLC CurrentSince Aug 1, 2023 Accepting new patients
Pulmonary Consultants P C Current Accepting new patients
Procura Wound Care CurrentSince Aug 11, 2025 Accepting new patients
Easy Health Medical Solutions PC CurrentSince Jan 1, 2025 Accepting new patients
Pulmonary Consultants P.C. CurrentSince Oct 1, 2024 Accepting new patients

Locations

4545 N Hunt Hwy
Florence, AZ 85132
Phone (480) 258-6100

1301 S Crismon Rd
Mesa, AZ 85209
Phone (480) 358-6300

6750 E Baywood Ave
Ste 401
Mesa, AZ 85206
Phone (480) 835-7111

7301 N 16th St
Ste 102
Phoenix, AZ 85020
Phone (602) 772-8600

2163 E Baseline Rd
Ste 105
Tempe, AZ 85283
Phone (480) 775-3503

10960 Wilshire Blvd
Los Angeles, CA 90024

10960 Wilshire Blvd
Ste 406
Los Angeles, CA 90024

1180 S Beverly Dr
Ste 700
Los Angeles, CA 90035
Phone (213) 584-2331

500 Ala Moana Blvd
Ste 7400
Honolulu, HI 96813
Phone (617) 823-6490

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DBCHBD

Organizations & group practices 6

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": "1484179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594857600000",
    "number": "1174069348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 N STUART BLVD",
            "city": "ELOY",
            "state": "AZ",
            "postal_code": "851312507",
            "telephone_number": "520-466-7883",
            "fax_number": "520-466-3946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9900 BREN ROAD EAST",
            "address_2": "MAIL ROUTE MN 008-B213",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "55343",
            "telephone_number": "520-466-7883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "TIFFANY",
        "middle_name": "DIANE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-12",
        "last_updated": "2020-07-16",
        "certification_date": "2020-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP9780",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "236931",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Minnetonka, MN

Sources for this page

Verify at the official NPI Registry.