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Tiffany Alicia Axtman

NPI 1699397042ActiveIndividual· Nurse Practitioner· Bemidji, MN

Nurse Practitioner with Sanford Health of Northern Minnesota, practicing in Bemidji, Minnesota. 347 Medicare patients in 2024, $16,463 paid; nearly all of their 649 Part D prescriptions were generic (93%). Lists Sanford Bemidji Medical Center as a hospital affiliation.

Overview

NPI1699397042
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedMay 8, 2020
Last updated in NPPESAug 9, 2022
Certified by providerAug 9, 2022

Specialties and licenses

TaxonomyCodeLicenseState
Nurse Practitioner Primary363L00000X7254MN

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Nurse Practitioner (MN)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients347
Services billed391 across 10 procedure codes
Paid by Medicare$16,463

Part D prescriptions in 2024

Prescriptions (claims)649 · 661 30-day fills
Patients452
Total drug cost$14,400
Generic share93% of claims

Medicare sources and data years

Education and affiliations

Graduation year2019
Medicare specialtyNurse Practitioner

Medical group

Hospital affiliation

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

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