Kelly D. Tiffany, FNP
NPI 1962989459ActiveIndividual· Nurse Practitioner, Family· Bottineau, ND
Nurse Practitioner, Family (FNP) with St Andrews Hospital, practicing in Bottineau, North Dakota. Their prescriptions cost Medicare Part D more than their services did: $399,295 for 4,065 claims, against $1,820 paid for services in 2024. E.R. Squibb & Sons, L.L.C. reported $19.20 in payments in 2025, mostly food and beverage. Lists St Andrew's Hospital and 1 other hospital as hospital affiliations.
Overview
| NPI | 1962989459 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | FNP |
| Sole proprietor | No |
| NPI issued | Jul 26, 2018 |
| Last updated in NPPES | Sep 8, 2026 |
| Certified by provider | Sep 8, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | R26835 | ND |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (ND) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 24 |
|---|---|
| Services billed | 47 across 6 procedure codes |
| Paid by Medicare | $1,820 |
Part D prescriptions in 2024
| Prescriptions (claims) | 4,065 · 7,076 30-day fills |
|---|---|
| Patients | 317 |
| Total drug cost | $399,295 |
| Generic share | 86% of claims |
Education and affiliations
| Graduation year | 2018 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- St Andrews HospitalBottineau, ND · 16 clinicians
Hospital affiliations
- St Andrew's HospitalBottineau, ND
- Trinity HospitalsMinot, ND
Industry payments (Open Payments)
- 2025$19.20 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| E.R. Squibb & Sons, L.L.C. | $19.20 | 1 |
What the 2025 payments were for
- Food and Beverage$19.20 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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