Individual provider Active NPI

Tiffany Lynn McIntyre, NP-C

  • Nurse Practitioner
  • Bloomington, MN
National Provider Identifier
1194244053
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AG08170049 Issued in MN
Practice address
5123 W 98TH St # 2082
Bloomington, MN 55437-2040
Phone
(337) 991-9276
NPI assigned
Sep 12, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AG08170049 MN Primary
Nurse Practitioner 363L00000X 5486 MN
Nurse Practitioner 363L00000X 10661-33 WI

Addresses

Primary practice location

5123 W 98TH St # 2082
Bloomington, MN 55437-2040

Mailing address

530 US Highway 12
Wilson, WI 54027-3940
Phone (651) 269-9716

Other practice location 1

Curana Health
1366 East Sumner Street #1002
Hartford, WI 53027-1614
Phone (337) 408-0797

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WI2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20180123000264 MN Practitioner - Nurse Practitioner 1456610328 Reassigns benefits to 2 organizations
I20250626002070 WI Practitioner - Nurse Practitioner 1456610328 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Curana Health of Wisconsin Inc 48 clinicians
CH Specialty Services Wi SC 14 clinicians
Curana Health of Minnesota PLLC 62 clinicians

Practice addresses (Care Compare)

1366 E Sumner St
Suite 1002
Hartford, WI 53027-1614
Phone (337) 408-0805

5123 W 98TH St
Suite 2082
Minneapolis, MN 55437-2040
Phone (737) 226-6700

Hospital & facility affiliations

  • Lakeland Home Healthcare Home health agency, Chippewa Falls, WI, CCN 527344
  • Marshfield Medical Center - Eau Claire Hospital, Eau Claire, WI, CCN 520210
  • Marshfield Medical Center Hospital, Marshfield, WI, CCN 520037

Merit-based Incentive Payment System (MIPS)

Final score
79.75 of 100Reported as group
Quality
42.73
Promoting interoperability
96
Improvement activities
40
Cost
66.97

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5486MNMDSpeech-Language Pathologist
AG08170049MNMDNurse Practitioner
10661-33WIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
CH Specialty Services Wi SC CurrentSince Jun 17, 2025 Accepting new patients
Curana Health of Wisconsin Inc CurrentSince Jun 17, 2025 Accepting new patients
Curana Health of Minnesota PLLC Nurse Practitioner CurrentSince Jun 17, 2025 Accepting new patients
CH Specialty Services MN PC CurrentSince Jun 17, 2025 Accepting new patients

Locations

5750 Johnston St
Ste 205
Lafayette, LA 70503
Phone (337) 580-3330

5123 W 98th St
Minneapolis, MN 55437
Phone (312) 961-4490

1366 E Sumner St
Hartford, WI 53027
Phone (337) 408-0805

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1505174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1194244053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 US HIGHWAY 12",
            "city": "WILSON",
            "state": "WI",
            "postal_code": "540273940",
            "telephone_number": "651-269-9716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5123 W 98TH ST # 2082",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554372040",
            "telephone_number": "337-991-9276"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Curana Health",
            "address_2": "1366 East Sumner Street #1002",
            "address_purpose": "LOCATION",
            "city": "Hartford",
            "state": "WI",
            "postal_code": "530271614",
            "country_code": "US",
            "telephone_number": "337-408-0797",
            "fax_number": "337-943-0846",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCINTYRE",
        "first_name": "TIFFANY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-12",
        "last_updated": "2025-07-09",
        "certification_date": "2025-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MN",
            "license": "AG08170049",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MN",
            "license": "5486",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "10661-33",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, MN

Sources for this page

Verify at the official NPI Registry.