Individual provider Active NPI

Tiffany Ann Teepen, PA-C

  • Physician Assistant
  • Las Vegas, NV
National Provider Identifier
1720319890
Registry record updated Jan 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA0304 Issued in NV
Practice address
7195 Advanced Way
Las Vegas, NV 89113-3691
Phone
(702) 740-5327
Fax
(702) 740-5328
NPI assigned
Jan 28, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA0304 NV Primary

Addresses

Primary practice location

7195 Advanced Way
Las Vegas, NV 89113-3691

Mailing address

PO Box 50605
Henderson, NV 89016-0605
Phone (702) 740-5327

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20150327000732 NV Practitioner - Physician Assistant 8224355417 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2904 W Horizon Ridge Pkwy
Suite 101
Henderson, NV 89052-5016
Phone (702) 740-5327

7189 Advanced Way
Las Vegas, NV 89113-3691
Phone (702) 740-5327

7195 Advanced Way
Las Vegas, NV 89113-3691
Phone (702) 740-5327

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
70.69 of 100Reported as group
Quality
42.71
Promoting interoperability
100
Improvement activities
40
Cost
59.61

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Yee Advanced Orthopedics and Sports Medicine PC Surgical CurrentSince Feb 1, 2022 Accepting new patients

Locations

2904 W Horizon Ridge Pkwy
Ste 101
Henderson, NV 89052
Phone (702) 292-3774

7195 Advanced Way
#100
Las Vegas, NV 89113

9280 W Sunset Rd
Ste 422
Las Vegas, NV 89148
Phone (702) 476-2822

7195 Advanced Way
Ste 100
Las Vegas, NV 89113

7195 Advanced Way
Las Vegas, NV 89113

8230 W Sahara Ave
Las Vegas, NV 89117
Phone (702) 944-2001

Interoperability endpoints

  • Direct secure messaging: tteepen@aosmlv.directmessaging.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 5

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": "1264636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641168000000",
    "number": "1720319890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50605",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890160605",
            "telephone_number": "702-740-5327",
            "fax_number": "702-740-5328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7195 ADVANCED WAY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891133691",
            "telephone_number": "702-740-5327",
            "fax_number": "702-740-5328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEEPEN",
        "first_name": "TIFFANY",
        "middle_name": "ANN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-28",
        "last_updated": "2022-01-03",
        "certification_date": "2022-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA0304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.