Tiffany Jean Armstrong, P.A.-C
Individual provider Active NPI Physician Assistant · Waconia, MN
NPI 1861707556 · NPPES record last updated Aug 18, 2010
Key facts
- NPI
- 1861707556
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 1469 (MN)
- Practice address
- 875 E Main St
Waconia, MN 55387-1081 - Phone
- (952) 442-9333
- NPI assigned
- Aug 18, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Park Nicollet Clinic
Practice addresses (Care Compare)
15800 95TH Ave N
Maple Grove, MN 55369-4400
Phone (952) 993-1440
5320 Hyland Greens Dr
Bloomington, MN 55437-3934
Phone (952) 993-2400
8455 Flying Cloud Dr
Eden Prairie, MN 55344-3974
Phone (952) 993-7400
Hospital & facility affiliations
- Park Nicollet Methodist Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110330000557 | MN | Practitioner - Physician Assistant | 7517140460 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1469 | MN | MD | Genetic Counselor (M.S.) |
| 10774 | MN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Park Nicollet Clinic | Current |
Accepting new patients | |
| Park Nicollet Methodist Hospital | Current |
Accepting new patients |
Locations
8455 Flying Cloud Dr
Eden Prairie, MN 55344
Phone (952) 883-9040
5320 Hyland Greens Dr
Minneapolis, MN 55437
Phone (952) 993-2400
1000 Nicollet Mall
Minneapolis, MN 55403
Phone (612) 696-2875
Interoperability endpoints
- tarmstrong163676@direct.healthpartners.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1469 | MN | Yes |
Addresses
Primary practice location
875 E Main St
Waconia, MN 55387-1081
Mailing address
875 E Main St
Waconia, MN 55387-1081
Phone (952) 442-9333
Other providers in Waconia, MN
- Alexandra Baker Anderson
- Karen Sugimoto Anderson
- Andrea L Benjamin Malp LTD
- David J C Arens
- Cortland J Arlien
- Nichole Arn
- Rebecca Arnold
- Auburn Meadows, LLC
- Lauren Aus
- Lara Aycock
All providers in Waconia, MN · Physician Assistant in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 18, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.