Individual provider Active NPI

Tiffany Adams, NP-C

  • Nurse Practitioner
  • Saginaw, MI
National Provider Identifier
1306445630
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F09201319 Issued in MI
Practice address
4701 Towne Centre Rd Ste 303
Saginaw, MI 48604-2833
Phone
(989) 790-6719
NPI assigned
Oct 19, 2020
Last updated
Jan 25, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2022

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 F09201319 MI Primary

Addresses

Primary practice location

4701 Towne Centre Rd Ste 303
Saginaw, MI 48604-2833

Mailing address

4701 Towne Centre Rd Ste 303
Saginaw, MI 48604-2833
Phone (989) 790-6719

Other names 1

  • Tiffany Wirtz Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tiffanywirtz@smomsjhs.allscriptsdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20201120001357 MI Practitioner - Nurse Practitioner 7719398809 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
Mymichigan Medical Center SaginawGroup PAC ID 6305737156, 111 clinicians

Practice addresses (Care Compare)

4677 Towne Centre Rd
FL 2
Saginaw, MI 48604-2846
Phone (989) 790-6719

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F09201319MIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mymichigan Medical Center Saginaw CurrentSince Nov 30, 2020 Accepting new patients
Mymichigan Medical Center Saginaw Current Accepting new patients
Mymichigan Medical Center Saginaw CurrentSince Nov 30, 2020 Accepting new patients
Mymichigan Medical Center Saginaw Past Accepting new patients
Mymichigan Medical Center Saginaw Past Accepting new patients

Locations

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

4677 Towne Centre Rd
Fl 2
Saginaw, MI 48604

4701 Towne Centre Rd
Ste 3
Saginaw, MI 48604
Phone (989) 790-0007

4701 Towne Centre Rd
Ste 303
Saginaw, MI 48604
Phone (989) 780-2455

Interoperability endpoints

  • Direct secure messaging: tiffany.adams.1@11016.direct.athenahealth.com

Organizations & group practices 5

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 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": "1603065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643068800000",
    "number": "1306445630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 TOWNE CENTRE RD STE 303",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486042833",
            "telephone_number": "989-790-6719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 TOWNE CENTRE RD STE 303",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486042833",
            "telephone_number": "989-790-6719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "TIFFANY",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-19",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "F09201319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tiffanywirtz@smomsjhs.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "4701 Towne Centre Rd Ste 303",
            "city": "Saginaw",
            "state": "MI",
            "country_code": "US",
            "postal_code": "486042833",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "WIRTZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.