DR. TIFFANY NICOLE HOLLAND (M.D.) – Family Medicine Physician, NPI 1154551620

DR. TIFFANY NICOLE HOLLAND (M.D.) is a healthcare provider. based in Gurnee, Illinois. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 036146440 (IL). The NPI Number for DR. TIFFANY NICOLE HOLLAND (M.D.) is 1154551620

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
DR. TIFFANY NICOLE HOLLAND (M.D.)
NPI
1154551620
Phone
(847) 535-7157
Address
25 TOWER CT STE B
Enumeration Date
19 July 2009
Last Update Date
13 October 2022

Doctor Profile

Medical School Name
MEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE
Secondary Phone
8475991444
Graduation Year
2009 (17 years ago)
PAC ID
2365746104
Group Practice PAC ID
4284631086
Professional Enrollment ID
I20180816002787
Address ID
IL600313355GU15XXXCTXX303

Contacts

FHIR Endpoint
https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Secure Messaging
tholland344050@direct.myadvocateaurora.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness85
Years active:16State licenses:1Other namesUpdated within 12 months

5,037 FAMILY PRACTICE in IL

Provider Addresses for DR. TIFFANY NICOLE HOLLAND (M.D.)

  • 25 TOWER CT STE B

    GURNEE, IL 600313318

    Phone: (847) 535-7157

    Fax: (224) 271-3202

    Type: Mailing

  • 29373 NETWORK PL

    CHICAGO, IL 606733318

    Phone: (847) 390-5900

    Type: Mailing

  • 350 SURRYSE RD STE 100

    LAKE ZURICH, IL 600473217

    Phone: (847) 438-2144

    Type: Location

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: 2018-08-16

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
I20180816002787IFamily PracticeILTBD

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
36415Insertion of needle into vein for collection of blood sample284165$0
99214Established patient office or other outpatient visit, 30-39 minutes269170$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit172172$0
99213Established patient office or other outpatient visit, 20-29 minutes7767$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report5146$0
View full utilization report →

Insurance plans in this area (ZIP 60031)

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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: 4284631086View full group profile
NameSpecialtyState
-IL
Pulmonary DiseaseIL
Internal Medicine, Family PracticeIL
Gastroenterology, Internal MedicineIL
Nurse PractitionerIL
Physician AssistantIL
Cardiac Surgery, Thoracic Surgery, Thoracic SurgeryND
Family PracticeWI
Family PracticeWI
Nurse PractitionerIL

Reviews

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Frequently asked questions

What identifier follows DR. TIFFANY NICOLE HOLLAND (M.D.) across health systems?
The NPI 1154551620 uniquely identifies DR. TIFFANY NICOLE HOLLAND (M.D.) in U.S. healthcare data.
Is DR. TIFFANY NICOLE HOLLAND (M.D.) currently accepting referrals based on NPI status?
Registry metadata lists DR. TIFFANY NICOLE HOLLAND (M.D.) as active.
What services align with DR. TIFFANY NICOLE HOLLAND (M.D.)'s listing?
DR. TIFFANY NICOLE HOLLAND (M.D.)'s public classification highlights Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DR. TIFFANY NICOLE HOLLAND (M.D.) tied to Gurnee, Illinois?
If you are local to Gurnee, Illinois, DR. TIFFANY NICOLE HOLLAND (M.D.) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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