Individual provider Active NPI

Tanya Eiffler, DNP, APRN, FNP-C

  • Family Nurse Practitioner
  • Moose Lake, MN
National Provider Identifier
1386168573
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5258 Issued in MN
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, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250324002138 MN Order and Referring Only - Nurse Practitioner 0840566337

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5258MNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
State of Minnesota PastSince Mar 20, 2025 Accepting new patients
Minnesota Sex Offender Program PastSince Mar 20, 2025 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.

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

Sources for this page

Verify at the official NPI Registry.