TIFFANY J RADKE (APN) – Acute Care Nurse Practitioner, NPI 1730588823

TIFFANY J RADKE (APN) is a healthcare provider. based in Saint paul, Minnesota. specializing in NURSE PRACTITIONER. They hold the professional credentials APN. They hold a License No. 209-011702 (IL). The NPI Number for TIFFANY J RADKE (APN) is 1730588823

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
TIFFANY J RADKE (APN)
NPI
1730588823
Phone
(651) 232-2002
Address
1700 UNIVERSITY AVE W FL 1
Enumeration Date
14 August 2014
Last Update Date
3 May 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6516034565
Graduation Year
2014 (12 years ago)
PAC ID
9638399470
Group Practice PAC ID
6305278797
Professional Enrollment ID
I20171110000621
Address ID
MN553871014WA212XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:11State licenses:2Digital endpointsOther names

5,720 NURSE PRACTITIONER in MN

Provider Addresses for TIFFANY J RADKE (APN)

  • 1700 UNIVERSITY AVE W FL 1

    SAINT PAUL, MN 551043727

    Phone: (651) 232-2002

    Type: Mailing

  • 1420 W Pioneer Pkwy

    Peoria, IL 616151941

    Phone: (309) 677-0645

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $138.

Total Amount is formed as General ($138) + Research ($0) + Ownership ($0) = $138.

Last reported payment date: 2023-07-06 • Largest payer in this snapshot: Organogenesis Inc. ($138).

Total Amount

$138

General + Research + Ownership

Payments

1

Total payment records

General Amount

$138

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-07-06

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Organogenesis Inc.$138
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: 2021-08-23

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20171110000621INurse PractitionerMNTBD
I20210823000401INurse PractitionerWITBD

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
Q4186Epifix, per square centimeter3,75111$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes977225$0
99489Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month521103$0
99487Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month200106$0
99439Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month15955$0
View full utilization report →

Insurance plans in this area (ZIP 55104)

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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: 6305278797View full group profile
NameSpecialtyState
Nurse PractitionerMN
Nurse PractitionerMN
Emergency MedicineMN
Nurse PractitionerMN
Nurse PractitionerMN
Nurse PractitionerMN
Nurse PractitionerMN
Family PracticeMN
Nurse PractitionerMN

Reviews

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Frequently asked questions

Does TIFFANY J RADKE (APN) have a public NPI I can cite?
Public records show TIFFANY J RADKE (APN) under NPI 1730588823.
Is TIFFANY J RADKE (APN)'s NPI status active today?
Active status means TIFFANY J RADKE (APN)'s NPI record is not deactivated in the public file.
What type of care does TIFFANY J RADKE (APN) provide?
TIFFANY J RADKE (APN)'s profile centers on Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to TIFFANY J RADKE (APN)?
TIFFANY J RADKE (APN) is associated with Saint Paul, Minnesota in the same public data insurers reference.
Who maintains TIFFANY J RADKE (APN)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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