Individual provider Active NPI

Tiffany Bluemke

  • Psychiatric/Mental Health Nurse Practitioner
  • Rensselaer, IN
National Provider Identifier
1598520033
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
28211488A Issued in IN
Practice address
131 W Drexel Pkwy
Rensselaer, IN 47978-7344
Phone
(866) 682-5539
NPI assigned
Feb 14, 2024
Last updated
Feb 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 28211488A IN Primary

Addresses

Primary practice location

131 W Drexel Pkwy
Rensselaer, IN 47978-7344

Mailing address

131 W Drexel Pkwy
Rensselaer, IN 47978-7344

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20240309000658 IN Practitioner - Nurse Practitioner 4082050232 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Valley Oaks Health IncGroup PAC ID 7315927563, 45 clinicians

Practice addresses (Care Compare)

415 N 26TH St
Lafayette, IN 47904-2895
Phone (765) 446-6549

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Oaks Health Inc CurrentSince Feb 4, 2024 Accepting new patients
Valley Oaks Health Inc CurrentSince Feb 4, 2024 Accepting new patients

Locations

41 N Long Ave
Attica, IN 47918
Phone (765) 762-6187

1480 Darlington Ave
Crawfordsville, IN 47933
Phone (765) 362-2852

1265 N Bradford Dr
Delphi, IN 46923
Phone (765) 564-2247

2015 Meharry St
Lafayette, IN 47904
Phone (765) 742-0183

2111 Teal Rd
Lafayette, IN 47905
Phone (765) 446-6562

217 Farabee Dr N
Lafayette, IN 47905
Phone (765) 250-5416

2323 Ferry St
Lafayette, IN 47904
Phone (765) 203-1110

415 N 26th St
Lafayette, IN 47904
Phone (765) 446-6400

415 N 26th St
Ste 103
Lafayette, IN 47904
Phone (765) 446-6400

415 N 26th St
Ste 201
Lafayette, IN 47904
Phone (765) 446-6535

610 Main St
Lafayette, IN 47901
Phone (765) 423-2638

920 W Executive Ct
Monticello, IN 47960
Phone (574) 583-7997

131 W Drexel Pkwy
Rensselaer, IN 47978
Phone (219) 866-4194

5307 N 50 W
West Lafayette, IN 47906
Phone (765) 463-3662

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.

Hospital & facility affiliations 1

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": "1707868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1598520033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 W DREXEL PKWY",
            "city": "RENSSELAER",
            "state": "IN",
            "postal_code": "479787344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 W DREXEL PKWY",
            "city": "RENSSELAER",
            "state": "IN",
            "postal_code": "479787344",
            "telephone_number": "866-682-5539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUEMKE",
        "first_name": "TIFFANY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-14",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IN",
            "license": "28211488A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rensselaer, IN

Sources for this page

Verify at the official NPI Registry.