Individual provider Active NPI

Tiffany A Poeschel, PA

  • Physician Assistant
  • Appleton, WI
National Provider Identifier
1194167239
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
3179 Issued in WI
Practice address
2400 E Capitol Dr
Appleton, WI 54911-8728
Phone
(920) 831-5050
Fax
(920) 738-6507
NPI assigned
Jul 17, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 3179 WI Primary

Addresses

Primary practice location

2400 E Capitol Dr
Appleton, WI 54911-8728

Mailing address

3 Neenah Ctr
Neenah, WI 54956-3070
Phone (920) 830-5900

Other practice location 1

2424 S 90th St Ste 300
West Allis, WI 53227-2455
Phone (414) 328-8750

Other practice location 2

2424 S 90th St
Suite 306
West Allis, WI 53227-2455
Phone (414) 328-8750

Other practice location 3

1110 Kepler Dr
Green Bay, WI 54311-8306
Phone (920) 288-5555

Other identifiers 1

IdentifierTypeStateIssuer
1194167239MedicaidWI

Other names 1

  • Miss Tiffany Terp Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tterp59259@direct.myadvocateaurora.org

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
I20130823000784 WI Practitioner - Physician Assistant 4385887330 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baycare Clinic LLPGroup PAC ID 4385554328, 197 clinicians
Thedacare, IncorporatedGroup PAC ID 1759294887, 654 clinicians

Practice addresses (Care Compare)

1160 Kepler Dr
Green Bay, WI 54311-8321
Phone (920) 288-5555

2400 E Capitol Dr
Appleton, WI 54911-8728
Phone (920) 831-5050

2845 Greenbrier Rd
Green Bay, WI 54311-6519

3003 University Dr
Marinette, WI 54143-4110
Phone (715) 735-3187

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
3179WIMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Baycare Clinic LLP CurrentSince Nov 1, 2020 Accepting new patients
Baycare Clinic LLP CurrentSince Nov 1, 2020 Accepting new patients
Thedacare, Incorporated CurrentSince Dec 11, 2025 Accepting new patients
Thedacare Medical Center - Berlin, Inc. Past Accepting new patients

Locations

4480 W Spencer St
Appleton, WI 54914
Phone (920) 738-4800

2400 E Capitol Dr
Appleton, WI 54911
Phone (920) 731-4101

225 Memorial Dr
Berlin, WI 54923
Phone (920) 361-1313

1110 Kepler Dr
Green Bay, WI 54311
Phone (920) 288-4712

1160 Kepler Dr
Green Bay, WI 54311
Phone (920) 288-5400

744 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-6025

1035 Kepler Dr
Green Bay, WI 54311

2581 Development Dr
Green Bay, WI 54311
Phone (920) 347-0400

1500 Arbor Way
Kaukauna, WI 54130
Phone (877) 229-2273

3003 University Dr
Marinette, WI 54143
Phone (715) 732-8200

3 Neenah Ctr
Neenah, WI 54956
Phone (920) 454-4229

719 Doctors Ct
Oshkosh, WI 54901
Phone (920) 235-0066

600 N Westhaven Dr
Oshkosh, WI 54904
Phone (920) 237-5000

Organizations & group practices 4

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 8

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": "1374019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779148800000",
    "number": "1194167239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 NEENAH CTR",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549563070",
            "telephone_number": "920-830-5900",
            "fax_number": "920-830-5910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 E CAPITOL DR",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549118728",
            "telephone_number": "920-831-5050",
            "fax_number": "920-738-6507"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2424 S 90th St Ste 300",
            "address_purpose": "LOCATION",
            "city": "West Allis",
            "state": "WI",
            "postal_code": "532272455",
            "country_code": "US",
            "telephone_number": "414-328-8750",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2424 S 90th St",
            "address_2": "Suite 306",
            "address_purpose": "LOCATION",
            "city": "West Allis",
            "state": "WI",
            "postal_code": "532272455",
            "country_code": "US",
            "telephone_number": "414-328-8750",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1110 Kepler Dr",
            "address_purpose": "LOCATION",
            "city": "Green Bay",
            "state": "WI",
            "postal_code": "543118306",
            "country_code": "US",
            "telephone_number": "920-288-5555",
            "fax_number": "920-288-5550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POESCHEL",
        "first_name": "TIFFANY",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-17",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "3179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1194167239",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tterp59259@direct.myadvocateaurora.org",
            "affiliation": "N",
            "address_1": "1160 Kepler Dr",
            "city": "Green Bay",
            "state": "WI",
            "country_code": "US",
            "postal_code": "543118321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "TERP",
            "prefix": "MISS",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Appleton, WI

Sources for this page

Verify at the official NPI Registry.