Individual provider Active NPI

Tiffany Poplaski, MSN, APRN, FNP-BC

  • Family Nurse Practitioner
  • Pittsfield, MA
National Provider Identifier
1609424704
Registry record updated Nov 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2336974 Issued in MA
Practice address
20 Elm St
Pittsfield, MA 01201-6502
Phone
(413) 442-1019
NPI assigned
Aug 31, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP142524 TX
Family Nurse Practitioner 363LF0000X RN2336974 MA Primary

Addresses

Primary practice location

20 Elm St
Pittsfield, MA 01201-6502

Mailing address

20 Elm St
Pittsfield, MA 01201-6502
Phone (214) 797-2970

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20200304001725 MA Practitioner - Nurse Practitioner 6103253190 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Berkshire Family Practice Associates , PCGroup PAC ID 0244561710, 10 clinicians

Practice addresses (Care Compare)

20 Elm St
Pittsfield, MA 01201-6502
Phone (413) 442-1019

Hospital & facility affiliations

  • Berkshire Visiting Nurse Association Home health agency, Pittsfield, MA, CCN 227122
  • North Adams Regional Hospital Corporation Hospital, North Adams, MA, CCN 221304
  • Berkshire Medical Center Hospital, Pittsfield, MA, CCN 220046

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP142524TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Berkshire Family Practice Associates , PC CurrentSince Jan 7, 2020 Accepting new patients

Locations

71 Hospital Ave
North Adams, MA 01247
Phone (413) 664-4343

20 Elm St
Pittsfield, MA 01201
Phone (413) 442-1019

Interoperability endpoints

  • Direct secure messaging: tiffanypoplaski@combfp.medalliesdirect.net

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 3

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": "1567209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573776000000",
    "number": "1609424704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 ELM ST",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012016502",
            "telephone_number": "214-797-2970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 ELM ST",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012016502",
            "telephone_number": "413-442-1019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPLASKI",
        "first_name": "TIFFANY",
        "name_prefix": "Mrs.",
        "credential": "MSN, APRN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-31",
        "last_updated": "2019-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP142524",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2336974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsfield, MA

Sources for this page

Verify at the official NPI Registry.