TIFFANY J PORTER (FNP) – Family Nurse Practitioner, NPI 1679019301

TIFFANY J PORTER (FNP) is a healthcare provider. based in St charles, Illinois. specializing in Family Nurse Practitioner. They hold the professional credentials FNP. They hold a License No. 209015112 (IL). The NPI Number for TIFFANY J PORTER (FNP) is 1679019301

Main info

Female
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
TIFFANY J PORTER (FNP)
NPI
1679019301
Phone
(630) 915-8693
Address
1301 FOX MEADOW CT
Enumeration Date
19 January 2017
Last Update Date
5 June 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8477173400
Graduation Year
2016 (10 years ago)
PAC ID
8325321953
Group Practice PAC ID
8022098219
Professional Enrollment ID
I20170206002322
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:9State licenses:1Digital endpointsOther names

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Provider Addresses for TIFFANY J PORTER (FNP)

  • 1301, Fox Meadow Court, St. Charles, Kane County, Illinois, 60174, United States

    ST CHARLES, IL 601741670

    Phone: (630) 915-8693

    Type: Mailing

  • 12200, Western Avenue, Blue Island, Worth Township, Cook County, Illinois, 60406, United States

    BLUE ISLAND, IL 604061398

    Phone: (630) 581-5372

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $35.

Total Amount is formed as General ($35) + Research ($0) + Ownership ($0) = $35.

Last reported payment date: 2024-04-23 • Largest payer in this snapshot: IBSA Pharma Inc. ($35).

Total Amount

$35

General + Research + Ownership

Payments

2

Total payment records

General Amount

$35

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-23

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
IBSA Pharma Inc.$35
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.

No Medicare enrollment or revalidation data available for this provider in our database.

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 60174)

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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: 8022098219View full group profile
NameSpecialtyState
C H I R O P R A C T I CIL
Physical Therapist In Private PracticeIL
C H I R O P R A C T I CIL
-IL

Reviews

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Frequently asked questions

How do payers reference TIFFANY J PORTER (FNP)?
For TIFFANY J PORTER (FNP), use NPI 1679019301 as the unique 10-digit identifier.
Is TIFFANY J PORTER (FNP) shown as active in public data?
Registry records indicate TIFFANY J PORTER (FNP) maintains an active NPI.
What expertise is attributed to TIFFANY J PORTER (FNP)?
TIFFANY J PORTER (FNP)'s specialty line reads Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for TIFFANY J PORTER (FNP)?
Travel planning: use St Charles, Illinois as the reference point for TIFFANY J PORTER (FNP), then confirm.
Can I trust this NPI listing for TIFFANY J PORTER (FNP)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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