Individual provider Active NPI

Tiffany Shea Robinson, PA

  • Medical Physician Assistant
  • Elizabethtown, KY
National Provider Identifier
1841283041
Registry record updated Jun 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA713 Issued in KY
Practice address
1311 Ring Rd Ste 103
Elizabethtown, KY 42701-8941
Phone
(270) 986-7372
NPI assigned
Aug 24, 2005
Last updated
Jun 22, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA713 KY Primary

Addresses

Primary practice location

1311 Ring Rd Ste 103
Elizabethtown, KY 42701-8941

Mailing address

2412 Ring Rd
Suite 200
Elizabethtown, KY 42701-7998
Phone (270) 765-5926

Other practice location 1

2412 Ring Rd
Suite 200
Elizabethtown, KY 42701-7998
Phone (270) 765-5926

Other identifiers 2

IdentifierTypeStateIssuer
000000310563OtherKYANTHEM BLUE CROSS
P00136548OtherKYMEDICARE-RAILROAD CARRIER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20040122000354 KY Practitioner - Physician Assistant 1153222807 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

2411 Ring Rd
Elizabethtown, KY 42701-5930

2603 Kentucky Ave
Suite 304
Paducah, KY 42003-3829
Phone (270) 415-4800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA713KYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc CurrentSince Sep 1, 2020 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Sep 1, 2020 Accepting new patients

Locations

2413 Ring Rd
Ste 100
Elizabethtown, KY 42701
Phone (270) 737-0077

913 N Dixie Ave
Elizabethtown, KY 42701
Phone (270) 706-1212

2603 Kentucky Ave
Ste 304
Paducah, KY 42003
Phone (270) 415-4800

Interoperability endpoints

  • Direct secure messaging: trobinson@hardinmemorial.gwaydirect.com

Organizations & group practices 2

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.

Hospital & facility affiliations 2

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": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529625600000",
    "number": "1841283041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2412 RING RD",
            "address_2": "SUITE 200",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427017998",
            "telephone_number": "270-765-5926",
            "fax_number": "270-763-0051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 RING RD STE 103",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427018941",
            "telephone_number": "270-986-7372"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2412 Ring Rd",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Elizabethtown",
            "state": "KY",
            "postal_code": "427017998",
            "country_code": "US",
            "telephone_number": "270-765-5926",
            "fax_number": "270-763-0051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "TIFFANY",
        "middle_name": "SHEA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-24",
        "last_updated": "2018-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "KY",
            "license": "PA713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "000000310563",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE-RAILROAD CARRIER",
            "identifier": "P00136548",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethtown, KY

Sources for this page

Verify at the official NPI Registry.