Individual provider Active NPI

Tiffany Ann Kilhoffer, APRN FNP-C

  • Family Nurse Practitioner
  • Elk City, OK
National Provider Identifier
1891301925
Registry record updated Sep 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
106036 Issued in OK
Practice address
1721 W Avenue a
Elk City, OK 73644-3901
Phone
(580) 303-4390
Fax
(877) 286-3963
NPI assigned
Sep 23, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 106036 OK Primary

Addresses

Primary practice location

1721 W Avenue a
Elk City, OK 73644-3901

Mailing address

1721 W Avenue a
Elk City, OK 73644-3901
Phone (580) 303-4390

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20201007000526 OK Practitioner - Nurse Practitioner 2567881766 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Whinery Family Medicine PLLCGroup PAC ID 7517034911, 2 clinicians

Practice addresses (Care Compare)

1721 W Ave a
Elk City, OK 73644-3901
Phone (580) 303-4390

Hospital & facility affiliations

  • Great Plains Regional Medical Center Hospital, Elk City, OK, CCN 370019

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Whinery Family Medicine PLLC CurrentSince Oct 1, 2020 Accepting new patients
Farmers Union Hospital Association Past Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients

Organizations & group practices 3

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 3

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": "1600819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600819200000",
    "number": "1891301925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1721 W AVENUE A",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736443901",
            "telephone_number": "580-303-4390",
            "fax_number": "877-286-3963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 W AVENUE A",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736443901",
            "telephone_number": "580-303-4390",
            "fax_number": "877-286-3963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILHOFFER",
        "first_name": "TIFFANY",
        "middle_name": "ANN",
        "credential": "APRN FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-23",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "106036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk City, OK

Sources for this page

Verify at the official NPI Registry.