Individual provider Active NPI

Tiffany Katsaros, CRNP

  • Adult Health Nurse Practitioner
  • Chambersburg, PA
National Provider Identifier
1346751708
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
SP017629 Issued in PA
Practice address
211 Grant St
Chambersburg, PA 17201-1627
Phone
(717) 504-8426
NPI assigned
Oct 12, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X SP017629 PA Primary

Addresses

Primary practice location

211 Grant St
Chambersburg, PA 17201-1627

Mailing address

211 Grant St
Chambersburg, PA 17201-1627
Phone (717) 504-8426

Other identifiers 1

IdentifierTypeStateIssuer
103440004MedicaidPA

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
I20180125000579 PA Practitioner - Nurse Practitioner 5496014102 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
May accept Medicare assignment
Group practices
Oneskin Dermatology LLCGroup PAC ID 0749712610, 2 clinicians

Practice addresses (Care Compare)

211 Grant St
Chambersburg, PA 17201-1627
Phone (717) 504-8426

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Oneskin Dermatology LLC CurrentSince Sep 16, 2024 Accepting new patients

Locations

211 Grant St
Chambersburg, PA 17201
Phone (201) 819-4588

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1507766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1346751708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 GRANT ST",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172011627",
            "telephone_number": "717-504-8426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 GRANT ST",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172011627",
            "telephone_number": "717-504-8426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATSAROS",
        "first_name": "TIFFANY",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-12",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP017629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103440004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chambersburg, PA

Sources for this page

Verify at the official NPI Registry.