Kelly D Tiffany, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R26835 Issued in ND

Practice address

314 Ohmer St
Bottineau, ND 58318-1059

Phone

(701) 228-9400

NPI assigned

Jul 26, 2018

Sex

Female

Sole proprietor

No

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.

• St. Andrew'S Hospital

  • General Acute Care Hospital
  • Bottineau, ND
  • NPI 1306903331

  ND

  Medicare reassignment Care Compare group NPD
• St. Andrew'S Hospital

  • Critical Access Hospital
  • Bottineau, ND
  • NPI 1801893706

  ND

  Medicare reassignment Care Compare group NPD
• St. Andrew'S Hospital

  • Rural Health Clinic/Center
  • Bottineau, ND
  • NPI 1295497097
  Care Compare group NPD
• St Andrews Hospital

  • Critical Access Hospital
  • Bottineau, ND
  • NPI 1912093725
  Care Compare group

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

• St Andrews Hospital

  • Critical Access Hospital
  • Bottineau, ND
  • NPI 1912093725

  Nursing home

  Care Compare affiliation
• St. Andrew'S Hospital

  • Critical Access Hospital
  • Bottineau, ND
  • NPI 1801893706

  Hospital

  Care Compare affiliation
• Trinity Hospitals

  • Air Ambulance
  • Minot, ND
  • NPI 1053502773

  Hospital

  Care Compare affiliation
• Trinity Hospitals

  • Land Ambulance
  • Minot, ND
  • NPI 1134310857

  Hospital

  Care Compare affiliation
• Trinity Hospitals

  • General Acute Care Hospital
  • Minot, ND
  • NPI 1427103910

  Hospital

  Care Compare affiliation
• Trinity Hospitals

  • Substance Abuse Rehabilitation Facility
  • Minot, ND
  • NPI 1457539660

  Hospital

  Care Compare affiliation
• Trinity Hospitals

  • Substance Use Disorder Rehabilitation Hospital Unit
  • Minot, ND
  • NPI 1487804092

  Hospital

  Care Compare affiliation
• Trinity Hospitals

  • General Acute Care Hospital
  • Minot, ND
  • NPI 1932359544

  Hospital

  Care Compare affiliation

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St Andrews Hospital 16 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Andrew'S Hospital Hospital, Bottineau, ND, CCN 351307
• Trinity Hospitals Hospital, Minot, ND, CCN 350006
• St Andrew'S Hospital Nursing home, CCN 35Z307

Medicare fee-for-service enrollment

Enrolled in ND

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 8, 2026.

{
    "created_epoch": "1532563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788825600000",
    "number": "1962989459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 OHMER ST",
            "city": "BOTTINEAU",
            "state": "ND",
            "postal_code": "583181059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 OHMER ST",
            "city": "BOTTINEAU",
            "state": "ND",
            "postal_code": "583181059",
            "telephone_number": "701-228-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIFFANY",
        "first_name": "KELLY",
        "middle_name": "D",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-26",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ND",
            "license": "R26835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St. Andrew'S Hospital
• The Evangelical Lutheran Good Samaritan Society
• The Evangelical Lutheran Good Samaritan Society
• Donald L Thompson, RPH
• Kathy Thompson
• Savannah K Trottier
• True North Chiropractic, PC
• Wal-Mart Stores, Inc.
• Kristi Walen
• Jan L Weathers, PT;DPT

• All providers in Bottineau, ND
• Family Nurse Practitioner in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; 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.