Tiffany Bruckner, CNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

CP000859 Issued in SD

Practice address

201 S Lloyd St Ste E201
Aberdeen, SD 57401-4509

Phone

(605) 622-2545

Fax

(605) 229-5331

NPI assigned

Jun 23, 2014

Last updated

Jul 21, 2022By 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 1

Addresses

Other names 1

• Tiffany Moore Former name

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, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Avera St LukesGroup PAC ID 6406764927, 164 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Avera St Lukes Hospital, Aberdeen, SD, CCN 430014
• Community Memorial Hospital Hospital, Redfield, SD, CCN 431316
• Bowdle Hospital - Cah Hospital, Bowdle, SD, CCN 431318
• Eureka Community Health Services - Cah Hospital, Eureka, SD, CCN 431308
• Avera Hand County Memorial Hospital and Clinic Hospital, Miller, SD, CCN 431337

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tiffany.bruckner@avera.sdhealthlink.net

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.

• Avera St. Luke's

  dba Avera Internal Medicine Aberdeen

  • Internal Medicine Physician
  • Aberdeen, SD
  • NPI 1215100813
  Medicare reassignment Care Compare group NPD
• Avera St Lukes

  • Psychiatric Hospital Unit
  • Aberdeen, SD
  • NPI 1003867029
  NPD
• Avera St. Lukes

  dba Avera Medical Group Nephrology Aberdeen

  • Nephrology Physician
  • Aberdeen, SD
  • NPI 1477594430
  NPD
• Avera St Lukes

  dba Avera Clinic of Ellendale

  • Rural Health Clinic/Center
  • Ellendale, ND
  • NPI 1760423057
  NPD (past)

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

• Avera McKennan

  dba Avera Hand County Memorial Hospital

  • Critical Access Hospital
  • Miller, SD
  • NPI 1922277060
  Care Compare affiliation
• Avera St Lukes

  • General Acute Care Hospital
  • Aberdeen, SD
  • NPI 1457309270
  Care Compare affiliation
• Bowdle Hospital

  • Critical Access Hospital
  • Bowdle, SD
  • NPI 1669418877
  Care Compare affiliation
• City of Redfield

  dba Community Memorial Hospital

  • Critical Access Hospital
  • Redfield, SD
  • NPI 1548232747
  Care Compare affiliation
• City of Redfield

  dba Community Memorial Hospital

  • Critical Access Hospital
  • Redfield, SD
  • NPI 1871565853
  Care Compare affiliation
• City of Redfield

  dba Community Memorial Hospital

  • Ambulance
  • Redfield, SD
  • NPI 1881666444

  Hospital

  Care Compare affiliation
• Eureka Community & Benevolent Hospital

  • Critical Access Hospital
  • Eureka, SD
  • NPI 1629152749
  Care Compare affiliation

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

{
    "created_epoch": "1403481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1801201439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1460",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574021460",
            "telephone_number": "605-622-2857",
            "fax_number": "605-622-2859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S LLOYD ST STE E201",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574014509",
            "telephone_number": "605-622-2545",
            "fax_number": "605-229-5331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUCKNER",
        "first_name": "TIFFANY",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-23",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SD",
            "license": "CP000859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "MOORE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Hope Mehlhoff Britsch
• Melissa R Brown, M.D.
• Tomee Brown
• Jenelle Brunson, RBT
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• Kari Jean Buisker, PT
• Kristi Burckhard
• Paiton Burckhard

• Nurse Practitioner in Aberdeen, SD
• Providers in Aberdeen, SD by specialty
• Nurse Practitioner in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.