TIFFANY K FLAHERTY (NP) – Nurse Practitioner, NPI 1487918124

TIFFANY K FLAHERTY (NP) is a healthcare provider. based in Troy, Missouri. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 2012016458 (MO). The NPI Number for TIFFANY K FLAHERTY (NP) is 1487918124

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
TIFFANY K FLAHERTY (NP)
NPI
1487918124
Phone
(636) 528-2650
Address
25 PROSPECT CIR
Enumeration Date
27 June 2012
Last Update Date
27 June 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6364626106
Graduation Year
2011 (15 years ago)
PAC ID
5698923688
Group Practice PAC ID
6608776299
Professional Enrollment ID
I20120917000667
Address ID
MO633792823TR172XXPKWY300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

7,017 NURSE PRACTITIONER in MO

Provider Addresses for TIFFANY K FLAHERTY (NP)

  • 25 PROSPECT CIR

    TROY, MO 633793173

    Phone: (636) 528-2650

    Fax: (636) 528-2661

    Type: Location

  • 1551 WALL ST

    SUITE 310

    SAINT CHARLES, MO 633033539

    Phone: (636) 669-2268

    Fax: (314) 209-8127

    Type: Mailing

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: 2012-09-17

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
I20120917000667INurse PractitionerMOTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes187142$0
99213Established patient office or other outpatient visit, 20-29 minutes7962$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only1414$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit1414$0
View full utilization report →

Insurance plans in this area (ZIP 63379)

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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: 6608776299View full group profile

Reviews

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Frequently asked questions

Can I cross-check TIFFANY K FLAHERTY (NP) using NPI 1487918124?
NPI 1487918124 belongs to TIFFANY K FLAHERTY (NP); compare other details if you need extra assurance.
Is there an active status for TIFFANY K FLAHERTY (NP)?
For scheduling context, TIFFANY K FLAHERTY (NP) is shown as active in the registry.
What clinical focus is listed for TIFFANY K FLAHERTY (NP)?
At a glance, TIFFANY K FLAHERTY (NP) is tied to Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with TIFFANY K FLAHERTY (NP)?
Directory geography for TIFFANY K FLAHERTY (NP) centers on Troy, Missouri.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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