Active NPI
Tiffany M Crane, NP
- Nurse Practitioner
- Cave Junction, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 201610044NP-PP
- Practice address
- 25647 Redwood Hwy
Cave Junction, OR 97523-9332 - Phone
- (541) 592-4111
- Fax
- (541) 592-3916
- NPI assigned
- Feb 1, 2017
- Last updated
- Jul 11, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 201610044NP-PP | OR | Primary |
Addresses
Primary practice location
25647 Redwood Hwy
Cave Junction, OR 97523-9332
Mailing address
1701 NW Hawthorne Ave
Grants Pass, OR 97526-1051
Phone (541) 472-4777
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500720534 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
25647 Redwood Hwy
Cave Junction, OR 97523-9332
Phone (541) 592-4111
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201610044NP-PP | OR | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Siskiyou Community Health Center, Inc | Current | Accepting new patients | |
| Siskiyou Community Health Center, Inc. | Current | Accepting new patients | |
| Asante Three Rivers Medical Center, LLC | Current | Accepting new patients |
Locations
1701 NW Hawthorne Ave
Grants Pass, OR 97526
Phone (541) 471-3455
1701 NW Hawthorne Ave
#201
Grants Pass, OR 97526
Interoperability endpoints
- tiffany.crane.p1@direct.siskiyou.nextgenshare.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Federally Qualified Health Center (FQHC)
- Grants Pass, OR
- NPI 1427046903
-
- General Acute Care Hospital
- Grants Pass, OR
- NPI 1801891809
-
- Federally Qualified Health Center (FQHC)
- Cave Junction, OR
- NPI 1669638417
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Grants Pass, OR
- NPI 1801891809
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720656000000",
"number": "1326586181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 NW HAWTHORNE AVE",
"city": "GRANTS PASS",
"state": "OR",
"postal_code": "975261051",
"telephone_number": "541-472-4777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25647 REDWOOD HWY",
"city": "CAVE JUNCTION",
"state": "OR",
"postal_code": "975239332",
"telephone_number": "541-592-4111",
"fax_number": "541-592-3916"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRANE",
"first_name": "TIFFANY",
"middle_name": "M",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-01",
"last_updated": "2024-07-11",
"certification_date": "2024-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OR",
"license": "201610044NP-PP",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500720534",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cave Junction, OR
- Chiropractic Wellness Center LLC
- Karen Lynn Christensen
- Coastal Pharmacies, LLC (Pharmacy Express #1189)
- Laura Anne Coleman
- Elbert Campbell Collins, M.D.
- Donato and Wood Consulting (Riverside Physical Therapy)
- Lisa Ann Edwards, PPCNP-BC
- Elements of Health & Wellness, Inc.
- Eye Care Group of Southern Oregon, LLC (Eye Care Group)
- Joya H Feltzin, CNM FNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.