Individual provider Active NPI

Tiffani Tatko, DNP, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Harrisburg, PA
National Provider Identifier
1215535331
Registry record updated Apr 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP022360 Issued in PA
Practice address
600 N 2ND St Ste 401
Harrisburg, PA 17101-1071
Phone
(412) 850-5255
NPI assigned
Oct 12, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X SP022360 PA Primary

Addresses

Primary practice location

600 N 2ND St Ste 401
Harrisburg, PA 17101-1071

Mailing address

PO Box 1595
Middletown, CT 06457-8095
Phone (860) 788-6404

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
I20210125003036 PA Practitioner - Nurse Practitioner 4486068939 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meditelecare of Pennsylvania LLCGroup PAC ID 8527488030, 25 clinicians

Practice addresses (Care Compare)

600 N 2ND St
Suite 401
Harrisburg, PA 17101-1071
Phone (860) 788-6404

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Psychological Services CurrentSince Dec 11, 2020 Accepting new patients
Meditelecare of Pennsylvania LLC CurrentSince Apr 1, 2021 Accepting new patients
The Circulatory Center of PA, Inc. PastSince Oct 1, 2020 Accepting new patients

Locations

600 N 2nd St
Ste 401
Harrisburg, PA 17101
Phone (844) 341-2339

885 Macbeth Dr
Monroeville, PA 15146
Phone (412) 856-7071

8850 Barnes Lake Rd
North Irwin, PA 15642
Phone (724) 864-5307

1350 Old Freeport Rd
Ste 1A
Pittsburgh, PA 15238
Phone (412) 406-7734

505 Weyman Rd
Pittsburgh, PA 15236
Phone (412) 884-3500

5609 5th Ave
Shadyside, PA 15232
Phone (412) 323-0420

Organizations & group practices 3

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": "1602460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712880000000",
    "number": "1215535331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1595",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064578095",
            "telephone_number": "860-788-6404",
            "fax_number": "860-398-6441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N 2ND ST STE 401",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171011071",
            "telephone_number": "412-850-5255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATKO",
        "first_name": "TIFFANI",
        "credential": "DNP, PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-12",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP022360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

Verify at the official NPI Registry.