TIFFANY HINES – Certified Registered Nurse Anesthetist, NPI 1134605488

TIFFANY HINES is a healthcare provider. based in Carbondale, Illinois. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. 209021012 (IL). The NPI Number for TIFFANY HINES is 1134605488

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
TIFFANY HINES
NPI
1134605488
Phone
(618) 457-5200
Address
405 W Jackson St
Enumeration Date
18 July 2018
Last Update Date
19 August 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6189987000
Graduation Year
2018 (8 years ago)
PAC ID
1658611850
Group Practice PAC ID
4981912607
Professional Enrollment ID
I20200320001722
Address ID
IL629595884MA3333XSTXX402

Contacts

Secure Messaging
thines37218@sih.direct-ci.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness85
Years active:7State licenses:3Other namesUpdated within 12 months

2,265 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in IL

Provider Addresses for TIFFANY HINES

  • 405 W Jackson St

    Carbondale, IL 629011462

    Phone: (618) 457-5200

    Fax: (618) 529-0449

    Type: Location

  • 201 S 14th Street

    SIH Medical Group Anesthesia

    Herrin, IL 62918

    Phone: (618) 942-2171

    Fax: (618) 351-4919

    Type: Location

  • 5185, Guffin Road, Bartlett, Shelby County, Tennessee, 38135, United States

    BARTLETT, TN 381356189

    Phone: (404) 980-6000

    Type: Mailing

  • 2101 DUBOIS DR

    WARSAW, IN 465803210

    Phone: (574) 267-3200

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $82.

Total Amount is formed as General ($82) + Research ($0) + Ownership ($0) = $82.

Last reported payment date: 2024-01-31 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($82).

Total Amount

$82

General + Research + Ownership

Payments

4

Total payment records

General Amount

$82

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-31

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Merck Sharp & Dohme LLC$82
View all Open Payments →|Open Payments Risk Radar →

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: 2023-06-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20191211000827ICertified Registered Nurse Anesthetist (Crna)TNTBD
I20200320001722ICertified Registered Nurse Anesthetist (Crna)ILTBD
I20230621001628ICertified Registered Nurse Anesthetist (Crna)KYTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1717$0
01402Anesthesia for procedure for total knee joint replacement1414$0
00790Anesthesia for other procedure on upper abdomen1313$0
View full utilization report →

Insurance plans in this area (ZIP 62901)

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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: 4981912607View full group profile
NameSpecialtyState
-IL
Certified Registered Nurse Anesthetist (Crna)IL
Certified Registered Nurse Anesthetist (Crna)KY
Certified Registered Nurse Anesthetist (Crna)MO
Certified Registered Nurse Anesthetist (Crna)IL
Certified Registered Nurse Anesthetist (Crna)CA
Certified Registered Nurse Anesthetist (Crna)MO
Certified Registered Nurse Anesthetist (Crna)MO
Certified Registered Nurse Anesthetist (Crna)IL
Certified Registered Nurse Anesthetist (Crna)MO

Reviews

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Frequently asked questions

Can I verify TIFFANY HINES with an NPI only?
You can start verification with NPI 1134605488 for TIFFANY HINES, then check state licensing separately.
Is TIFFANY HINES still practicing?
TIFFANY HINES is currently listed as active in the public NPI registry.
What taxonomy line describes TIFFANY HINES?
For research purposes, treat TIFFANY HINES as Certified Registered Nurse Anesthetist in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect TIFFANY HINES on a map?
Expect Carbondale, Illinois as a primary anchor for TIFFANY HINES unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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