Individual provider Active NPI

Tiffany Ankrum

  • Family Nurse Practitioner
  • Fort Collins, CO
National Provider Identifier
1285437384
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
58552 Issued in WY
Practice address
1228 Teakwood Dr
Fort Collins, CO 80525-1958
Phone
(970) 218-1472
NPI assigned
Apr 1, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN.0175030 CO
Family Nurse Practitioner 363LF0000X 58552 WY Primary

Addresses

Primary practice location

1228 Teakwood Dr
Fort Collins, CO 80525-1958

Mailing address

1228 Teakwood Dr
Fort Collins, CO 80525-1958
Phone (970) 218-1472

Other practice location 1

3810 E Grand Ave
Laramie, WY 82070-5179
Phone (307) 721-1794

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
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
I20260324003118 WY Practitioner - Nurse Practitioner 6002390317 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Care United Medical Center of Laramie LLCGroup PAC ID 7719168491, 18 clinicians

Practice addresses (Care Compare)

3810 E Grand Ave
Laramie, WY 82070-5179
Phone (307) 721-1794

Hospital & facility affiliations

  • Ivinson Memorial Hospital Hospital, Laramie, WY, CCN 530025

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN.0175030COMDNurse Practitioner
58552WYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Care United Medical Center of Laramie, LLC CurrentSince Mar 31, 2026 Accepting new patients

Locations

1919 Central Ave
Cheyenne, WY 82001
Phone (307) 514-9888

3810 E Grand Ave
Laramie, WY 82070
Phone (307) 721-1794

Organizations & group practices 1

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 1

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": "1743465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773273600000",
    "number": "1285437384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1228 TEAKWOOD DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805251958",
            "telephone_number": "970-218-1472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1228 TEAKWOOD DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805251958",
            "telephone_number": "970-218-1472"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3810 E Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Laramie",
            "state": "WY",
            "postal_code": "820705179",
            "country_code": "US",
            "telephone_number": "307-721-1794",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANKRUM",
        "first_name": "TIFFANY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-01",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "RN.0175030",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WY",
            "license": "58552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.