Tiffany E Pullins, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R041542 Issued in SD

Practice address

1369 Montgomery St
Custer, SD 57730-8246

Phone

(605) 673-3900

NPI assigned

Jun 13, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SD

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

Specialty

Nurse Practitioner

Education

Other, 2025

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Southern Hills Family Medicine, Prof LLC

  • Family Medicine Physician
  • Custer, SD
  • NPI 1457013963
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1749772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769299200000",
    "number": "1699661025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1369 MONTGOMERY ST",
            "city": "CUSTER",
            "state": "SD",
            "postal_code": "577308246",
            "telephone_number": "605-673-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1369 MONTGOMERY ST",
            "city": "CUSTER",
            "state": "SD",
            "postal_code": "577308246",
            "telephone_number": "605-673-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PULLINS",
        "first_name": "TIFFANY",
        "middle_name": "E",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-13",
        "last_updated": "2026-01-25",
        "certification_date": "2026-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SD",
            "license": "R041542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Marie Peterson, RN
• Roni Petik, RPT
• Gypsy Petz
• Positive Directions Counseling, Inc
• Premier Family Eye Care, PC
• Regional Health Network Inc (Custer Regional Hospital)
• Regional Health Network Inc (Custer Regional Hospital)
• Regional Health Network Inc (Regional Health Custer Hospital)
• Regional Health Network Inc (Custer Regional Clinic)
• Regional Health Network, Inc. (Regional Health Laboratories)

• Family Nurse Practitioner in Custer, SD
• Providers in Custer, SD by specialty
• Family Nurse Practitioner in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.