Active NPI
Tanya Eiffler, DNP, APRN, FNP-C
- Family Nurse Practitioner
- Moose Lake, MN
National Provider Identifier
1386168573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 5258
- Practice address
- 1111 Highway 73
Moose Lake, MN 55767-9452 - Phone
- (218) 565-6200
- Fax
- (651) 431-7631
- NPI assigned
- Jul 28, 2017
- Last updated
- Mar 18, 2025
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 5258 | MN | Primary |
Addresses
Primary practice location
1111 Highway 73
Moose Lake, MN 55767-9452
Mailing address
1111 Highway 73
Moose Lake, MN 55767-9452
Phone (218) 565-6200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250324002138 | MN | Order and Referring Only - Nurse Practitioner | 0840566337 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5258 | MN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Minnesota | Past | Accepting new patients | |
| Minnesota Sex Offender Program | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Psychiatric Residential Treatment Facility
- Moose Lake, MN
- NPI 1730354549
-
- Psychiatric Residential Treatment Facility
- Moose Lake, MN
- NPI 1639355902
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742256000000",
"number": "1386168573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 HIGHWAY 73",
"city": "MOOSE LAKE",
"state": "MN",
"postal_code": "557679452",
"telephone_number": "218-565-6200",
"fax_number": "651-431-7631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 HIGHWAY 73",
"city": "MOOSE LAKE",
"state": "MN",
"postal_code": "557679452",
"telephone_number": "218-565-6200",
"fax_number": "651-431-7631"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EIFFLER",
"first_name": "TANYA",
"credential": "DNP, APRN, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-28",
"last_updated": "2025-03-18",
"certification_date": "2025-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MN",
"license": "5258",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Moose Lake, MN
- Paul R. Dewey, M.D.
- Kathryn Dobbs, M.D.
- Downtown Dental Care PA
- Dr. Joseph J. Jamros Optometry, LTD.
- Steffany Drilling, MT
- Essentia Health Moose Lake
- Essentia Health Moose Lake (Essentia Health Moose Lake Clinic)
- Essentia Health Moose Lake (Essentia Health Moose Lake Home Care)
- Essentia Health Moose Lake (Essentia Health Moose Lake (Swing Bed))
- Family Chiropractic Care Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.