Individual provider Active NPI

Tiffany Kreun, ACNP

  • Acute Care Nurse Practitioner
  • Statesboro, GA
National Provider Identifier
1598155004
Registry record updated Sep 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
RN205413 Issued in GA
Practice address
1601 Fair Rd
Suite 600
Statesboro, GA 30458-1698
Phone
(912) 681-4911
Fax
(912) 681-6911
NPI assigned
Feb 4, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X RN205413 GA Primary

Addresses

Primary practice location

1601 Fair Rd
Suite 600
Statesboro, GA 30458-1698

Mailing address

1601 Fair Rd
Suite 600
Statesboro, GA 30458-1698
Phone (912) 681-4911

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tiffany.kreun.1@8824.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20151103001204 GA Practitioner - Nurse Practitioner 2365752342 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Georgia Hma Physician Management LLCGroup PAC ID 7214068592, 42 clinicians

Practice addresses (Care Compare)

1497 Fair Rd
Suite 102
Statesboro, GA 30458-0823
Phone (912) 486-1676

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.68 of 100Reported as apm
Quality
76.2
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
East Georgia Hma Physician Management, LLC CurrentSince Jan 1, 2017 Accepting new patients

Locations

1497 Fair Rd
Ste 102
Statesboro, GA 30458
Phone (912) 486-1626

1499 Fair Rd
Statesboro, GA 30458
Phone (912) 486-1000

1497 Fair Rd
Ste 103
Statesboro, GA 30458
Phone (912) 486-1163

1601 Fair Rd
Ste 600
Statesboro, GA 30458
Phone (912) 354-6190

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1423008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600300800000",
    "number": "1598155004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 FAIR RD",
            "address_2": "SUITE 600",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304581698",
            "telephone_number": "912-681-4911",
            "fax_number": "912-681-6911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 FAIR RD",
            "address_2": "SUITE 600",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304581698",
            "telephone_number": "912-681-4911",
            "fax_number": "912-681-6911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREUN",
        "first_name": "TIFFANY",
        "credential": "ACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-04",
        "last_updated": "2020-09-17",
        "certification_date": "2020-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "GA",
            "license": "RN205413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tiffany.kreun.1@8824.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "1601 Fair Rd",
            "address_2": "Suite 600",
            "city": "Statesboro",
            "state": "GA",
            "country_code": "US",
            "postal_code": "304581698",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Statesboro, GA

Sources for this page

Verify at the official NPI Registry.