Individual provider Active NPI

Tiffany M Koors, NP-C

  • Nurse Practitioner
  • Springfield, OH
National Provider Identifier
1225630833
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN.CNP.0027992 Issued in OH
Practice address
218 Northparke Dr
Springfield, OH 45503-1118
Phone
(937) 210-4198
NPI assigned
Nov 10, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN.CNP.0027992 OH Primary

Addresses

Primary practice location

218 Northparke Dr
Springfield, OH 45503-1118

Mailing address

218 Northparke Dr Ste a
Springfield, OH 45503-1118
Phone (937) 210-4198

Other practice location 1

21 E State St Ofc 233
Columbus, OH 43215-4281
Phone (888) 731-8994

Other names 1

  • Tiffany M O'Keeffe Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20210413002399 OH Practitioner - Nurse Practitioner 3971910001 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
87.94 of 100Reported as group
Quality
80.85
Promoting interoperability
99
Improvement activities
40
Cost
79.78

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0027992OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Samaritan Family Care Inc CurrentSince Jun 6, 2022 Accepting new patients
Marathon Health, LLC CurrentSince Sep 23, 2024 Accepting new patients

Locations

1530 Needmore Rd
Ste 200
Dayton, OH 45414
Phone (937) 278-5854

8638 Troy Pike
Ste 103
Huber Heights, OH 45424
Phone (937) 233-5574

3170 Kettering Blvd
Bldg B
Moraine, OH 45439
Phone (937) 991-3187

218 Northparke Dr
Ste A
Springfield, OH 45503
Phone (513) 399-9997

218 Northparke Dr
Springfield, OH 45503
Phone (937) 210-4198

Interoperability endpoints

  • Direct secure messaging: tiffany.koors.1@14940.direct.athenahealth.com

Organizations & group practices 2

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": "1604966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762387200000",
    "number": "1225630833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 NORTHPARKE DR STE A",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455031118",
            "telephone_number": "937-210-4198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 NORTHPARKE DR",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455031118",
            "telephone_number": "937-210-4198"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21 E State St Ofc 233",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432154281",
            "country_code": "US",
            "telephone_number": "888-731-8994",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOORS",
        "first_name": "TIFFANY",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-10",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.0027992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "O'KEEFFE",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Springfield, OH

Sources for this page

Verify at the official NPI Registry.