MRS. TIFFANY ALYSE HURT (P.A.) – Physician Assistant, NPI 1144240078
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
746 PSYCHIATRY in MN
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Provider Addresses for MRS. TIFFANY ALYSE HURT (P.A.)
1900, Silver Lake Road Northwest, New Brighton, Ramsey County, Minnesota, 55112, United States
SUITE 110
NEW BRIGHTON, MN 551121786
Phone: (651) 628-9566
Type: Mailing
11010, Prairie Lakes Drive, Eden Prairie, Hennepin County, Minnesota, 55344, United States
SUITE 250
EDEN PRAIRIE, MN 553443884
Phone: (952) 746-2522
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $74.
Total Amount is formed as General ($74) + Research ($0) + Ownership ($0) = $74.
Last reported payment date: 2024-09-26 • Largest payer in this snapshot: Tris Pharma Inc ($19).
Total Amount
$74
General + Research + Ownership
Payments
5
Total payment records
General Amount
$74
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Tris Pharma Inc | $19 |
| ACADIA Pharmaceuticals Inc | $17 |
| Almatica Pharma LLC | $14 |
| Janssen Pharmaceuticals, Inc | $13 |
| Corium, LLC | $11 |
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: 2024-05-20
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070109000470 | I | Physician Assistant | MN | TBD |
| I20240520002393 | I | Psychiatry | MN | TBD |
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.
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 55112)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | MN | 90792 | Psychiatric diagnostic evaluation with medical services | 13 | 13 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MN | |
| Mental Health Counselor | MN | |
| - | MN | |
| P S Y C H I A T R Y | MN | |
| - | MN | |
| Clinical Psychologist | MN | |
| Clinical Psychologist | MN | |
| - | MN | |
| - | MN | |
| - | MN |
Reviews
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