TIFFANY A HERNANDEZ (CRNA) – Certified Registered Nurse Anesthetist, NPI 1265738827

TIFFANY A HERNANDEZ (CRNA) is a healthcare provider. based in Detroit, Michigan. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 4704234404 (MI). The NPI Number for TIFFANY A HERNANDEZ (CRNA) is 1265738827

Main info

Female
16 Years Of Experience
Name
TIFFANY A HERNANDEZ (CRNA)
NPI
1265738827
Phone
(313) 745-7600
Address
3990 JOHN R ST
Enumeration Date
31 January 2011
Last Update Date
31 January 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3137453615
Graduation Year
2010 (16 years ago)
PAC ID
5698956308
Group Practice PAC ID
9638481591
Professional Enrollment ID
I20110228000667
Address ID
MI482012153DE4201XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

2,692 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MI

Provider Addresses for TIFFANY A HERNANDEZ (CRNA)

  • 3990 JOHN R ST

    DETROIT, MI 482012018

    Phone: (313) 745-7600

    Fax: (952) 442-3620

    Type: Location

  • DEPARTMENT 4676

    CAROL STREAM, IL 601224676

    Phone: (952) 442-9770

    Fax: (952) 442-3620

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $99.

Total Amount is formed as General ($99) + Research ($0) + Ownership ($0) = $99.

Last reported payment date: 2024-04-11 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($99).

Total Amount

$99

General + Research + Ownership

Payments

6

Total payment records

General Amount

$99

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-11

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Merck Sharp & Dohme LLC$99
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: 2011-02-28

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
I20110228000667ICertified Registered Nurse Anesthetist (Crna)MITBD

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
00811Anesthesia for other procedure on large bowel using an endoscope1919$0
00813Anesthesia for procedure on small and large bowel using an endoscope1414$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1111$0
View full utilization report →

Insurance plans in this area (ZIP 48201)

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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: 9638481591View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)IL
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
-MI
-MI
Anesthesiology, Critical Care (Intensivists)MI
Certified Registered Nurse Anesthetist (Crna)IL
A N E S T H E S I O L O G YMI
Certified Registered Nurse Anesthetist (Crna)MI

Reviews

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Frequently asked questions

What federal number belongs to TIFFANY A HERNANDEZ (CRNA)?
The federal identifier for TIFFANY A HERNANDEZ (CRNA) is NPI 1265738827.
Is TIFFANY A HERNANDEZ (CRNA) currently active in the NPI registry?
CMS-published data lists TIFFANY A HERNANDEZ (CRNA) as an active registrant.
What kind of provider is TIFFANY A HERNANDEZ (CRNA)?
The page reflects Certified Registered Nurse Anesthetist for TIFFANY A HERNANDEZ (CRNA). Clinical services aligned with this taxonomy classification.
Where is TIFFANY A HERNANDEZ (CRNA)'s primary listing?
We display Detroit, Michigan because that is what the record indicates for TIFFANY A HERNANDEZ (CRNA).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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