Tiffany J Gramblin, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

A115619 Issued in IA

Practice address

1000 10TH Ave
Ackley, IA 50601-1701

Phone

(641) 847-2625

Fax

(641) 847-2509

NPI assigned

Jan 27, 2016

Last updated

Oct 14, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IA

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, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ellsworth Municipal HospitalGroup PAC ID 2668366311, 16 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hansen Family Hospital Hospital, Iowa Falls, IA, CCN 161380
• Allen Hospital Hospital, Waterloo, IA, CCN 160110
• Franklin General Hospital Hospital, Hampton, IA, CCN 161308
• The Village of Ackley Nursing home, Ackley, IA, CCN 165443

Merit-based Incentive Payment System (MIPS)

Final score

93.78 of 100Reported as apm

Quality

80.38

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tiffanygramblin@elmhn.cernerdirect.com

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.

• Ellsworth Municipal Hospital

  dba Hansen Family Hospital

  • Critical Access Hospital
  • Iowa Falls, IA
  • NPI 1831296052
  Medicare reassignment Care Compare group NPD
• Ellsworth Municipal Hospital

  dba Ackley Medical Center

  • Family Medicine Physician
  • Ackley, IA
  • NPI 1356359061
  NPD
• Ellsworth Municipal Hospital

  dba Ellsworth Family Medicine

  • Primary Care Clinic/Center
  • Iowa Falls, IA
  • NPI 1588840466

  Family

  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Allen Memorial Hospital Corporation

  dba Allen Hospital

  • General Acute Care Hospital
  • Waterloo, IA
  • NPI 1336231091
  Care Compare affiliation
• Ellsworth Municipal Hospital

  dba Hansen Family Hospital

  • Critical Access Hospital
  • Iowa Falls, IA
  • NPI 1831296052
  Care Compare affiliation
• Franklin General Hospital

  • Critical Access Hospital
  • Hampton, IA
  • NPI 1477637759
  Care Compare affiliation
• Presbyterian Village

  • Nursing Facility/Intermediate Care Facility
  • Ackley, IA
  • NPI 1003811456

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1453852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602633600000",
    "number": "1760849343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 KENYON RD STE A",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505015740",
            "telephone_number": "515-574-8484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 10TH AVE",
            "city": "ACKLEY",
            "state": "IA",
            "postal_code": "506011701",
            "telephone_number": "641-847-2625",
            "fax_number": "641-847-2509"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "802 Kenyon Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Fort Dodge",
            "state": "IA",
            "postal_code": "505015740",
            "country_code": "US",
            "telephone_number": "515-574-8484",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAMBLIN",
        "first_name": "TIFFANY",
        "middle_name": "J",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-27",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A115619",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A115819",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIMARK PHYSICIANS GROUP NPI",
            "identifier": "1124396387",
            "state": "IA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "TiffanyGramblin@elmhn.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Hansen Family Hospital Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1000 10th Ave",
            "city": "Ackley",
            "state": "IA",
            "country_code": "US",
            "postal_code": "506011701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ackley Medical Center (A department of Ellsworth Hospital)
• Agwsr Community School District
• Ascend Therapeutic and Wellness Services of Iowa
• City of Ackley (Ackley Volunteer Ambulance Service)
• Ellsworth Municipal Hospital (Ackley Medical Center)
• Jennifer Lynn Jass, A.R.N.P
• Gary E Lawrence, MD
• Morgan Elizabeth Lensing
• Northland Hearing Centers, Inc. (Hearing Unlimited)
• Nudak Ventures LLC (NuCara Pharmacy #6)

• Family Nurse Practitioner in Ackley, IA
• Providers in Ackley, IA by specialty
• Family Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2020; 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.