TIFFANY KAIMEI DO (FNP-BC) – Family Nurse Practitioner, NPI 1124815857

TIFFANY KAIMEI DO (FNP-BC) is a healthcare provider. based in Skokie, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-BC. They hold a License No. 041.501331 (IL). The NPI Number for TIFFANY KAIMEI DO (FNP-BC) is 1124815857

Main info

Female
Sole Proprietor
2 Years Of Experience
Accepts Medicare Assignment
Name
TIFFANY KAIMEI DO (FNP-BC)
NPI
1124815857
Phone
(773) 383-1281
Address
7704 LOWELL AVE
Enumeration Date
24 April 2025
Last Update Date
24 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4433839300
Graduation Year
2024 (2 years ago)
PAC ID
5294244265
Group Practice PAC ID
0648637991
Professional Enrollment ID
I20250602001260
Address ID
IL601953186SC1901XRDXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness75
Years active:1State licenses:2Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for TIFFANY KAIMEI DO (FNP-BC)

  • 7704 LOWELL AVE

    SKOKIE, IL 600763622

    Phone: (773) 383-1281

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-06-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250602001260INurse PractitionerILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60076)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0648637991View full group profile
NameSpecialtyState
Nurse PractitionerNY
Nurse PractitionerIL
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeNY
Nurse PractitionerIL
Physical Therapist In Private PracticeIL
Nurse PractitionerIL
Nurse PractitionerNY
Nurse PractitionerMD
Nurse PractitionerIL

Reviews

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Frequently asked questions

What is the registry number for TIFFANY KAIMEI DO (FNP-BC)?
The registry entry for TIFFANY KAIMEI DO (FNP-BC) shows NPI 1124815857.
Should I treat TIFFANY KAIMEI DO (FNP-BC) as an active provider?
Patients and plans typically see TIFFANY KAIMEI DO (FNP-BC) as active in the national extract.
Which specialty label fits TIFFANY KAIMEI DO (FNP-BC)?
NPPES ties TIFFANY KAIMEI DO (FNP-BC) to Family Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is TIFFANY KAIMEI DO (FNP-BC) tied to Skokie, Illinois?
If you are local to Skokie, Illinois, TIFFANY KAIMEI DO (FNP-BC) may be relevant to your search.
Who maintains TIFFANY KAIMEI DO (FNP-BC)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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