TIFFANY JEAN VAJDA (CRNA) – Certified Registered Nurse Anesthetist, NPI 1376789313

TIFFANY JEAN VAJDA (CRNA) is a healthcare provider. based in Deerfield, Illinois. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 209007429 (IL). The NPI Number for TIFFANY JEAN VAJDA (CRNA) is 1376789313

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
TIFFANY JEAN VAJDA (CRNA)
NPI
1376789313
Phone
Not provided
Address
1121 LAKE COOK RD STE M
Enumeration Date
22 December 2008
Last Update Date
2 October 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8472683910
Graduation Year
2008 (18 years ago)
PAC ID
5496819575
Group Practice PAC ID
8123929940
Professional Enrollment ID
I20090204000543
Address ID
IL600684267PA22XXXAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:17State licenses:2Digital endpointsOther names

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

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Provider Addresses for TIFFANY JEAN VAJDA (CRNA)

  • Lake Cook Road, 601, Lake Cook Road, Deerfield, Northfield Township, Cook County, Illinois, 60015, United States

    DEERFIELD, IL 600155234

    Phone:

    Type: Mailing

  • North Avenue, Melrose, Middlesex County, Massachusetts, 01180, United States

    MELROSE PARK, IL 601601612

    Phone: (708) 681-3200

    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: 2009-02-04

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
I20090204000543ICertified Registered Nurse Anesthetist (Crna)ILTBD

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
00142Anesthesia for lens surgery5050$0
00812Anesthesia for exam of colon using an endoscope1212$0
View full utilization report →

Insurance plans in this area (ZIP 60015)

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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: 8123929940View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)IL
Certified Registered Nurse Anesthetist (Crna)IL
Certified Registered Nurse Anesthetist (Crna)IL
Certified Registered Nurse Anesthetist (Crna)IL
Anesthesiology, Interventional Pain ManagementIL
Certified Registered Nurse Anesthetist (Crna)MI
Anesthesiology, Pain ManagementIL
Interventional Pain Management, AnesthesiologyVA
Certified Registered Nurse Anesthetist (Crna)IL

Reviews

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Frequently asked questions

Does TIFFANY JEAN VAJDA (CRNA) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — TIFFANY JEAN VAJDA (CRNA) uses 1376789313.
Can I rely on TIFFANY JEAN VAJDA (CRNA) being an active provider?
As of the registry snapshot, TIFFANY JEAN VAJDA (CRNA) is marked active.
What is TIFFANY JEAN VAJDA (CRNA)'s specialty?
The listing groups TIFFANY JEAN VAJDA (CRNA) with Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What area does TIFFANY JEAN VAJDA (CRNA) serve?
TIFFANY JEAN VAJDA (CRNA)'s listing highlights Deerfield, Illinois; more addresses can appear in NPPES.
Why does TIFFANY JEAN VAJDA (CRNA) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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