TIFFANY DAHLKE (APNP) – Family Nurse Practitioner, NPI 1194353763
Family Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for TIFFANY DAHLKE (APNP)
2427 BLUESTONE PL
GREEN BAY, WI 543116433
Phone: (920) 840-7129
Type: Mailing
W2654 COUNTY ROAD KK
APPLETON, WI 549159468
Phone: (920) 830-2221
Type: Location
525 AIRPORT DR
ONEIDA, WI 541559035
Phone: (920) 869-2711
Type: Location
PO BOX 365
ONEIDA, WI 541550365
Phone: (920) 869-2711
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $348.
Total Amount is formed as General ($348) + Research ($0) + Ownership ($0) = $348.
Last reported payment date: 2024-01-24 • Largest payer in this snapshot: Medtronic, Inc. ($192).
Total Amount
$348
General + Research + Ownership
Payments
8
Total payment records
General Amount
$348
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-01-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $192 |
| Alexion Pharmaceuticals, Inc. | $125 |
| Smith+Nephew, Inc. | $31 |
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: 2021-04-09
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210409001219 | I | Nurse Practitioner | WI | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 45 | 35 | $0 |
Insurance plans in this area (ZIP 54311)
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