TIFFANY J RADKE APN NPI 1730588823

NPI Information

  • NPI: 1730588823
  • Provider Name: TIFFANY J RADKE, APN
  • Classification: Nurse Practitioner - 363LA2100X
  • Specialization: Acute Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1420 W PIONEER PKWY
    PEORIA, IL
    ZIP 61615
  • Phone: (309) 677-0645

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NPI Details

Tiffany J Radke, APN is an acute care nurse practitioner in Peoria, IL with 12 years of experience. Tiffany J Radke, APN NPI is 1730588823. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1420 W PIONEER PKWY
PEORIA, IL
ZIP 61615-941
Phone: (309) 677-0645

The NPI 1730588823 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Epifix, per square centimeter (HCPCS:Q4186)
  • Follow-up nursing facility visit per day, typically 25 minutes (HCPCS:99309)
  • Follow-up nursing facility visit per day, typically 25 minutes (HCPCS:99309)
  • Follow-up nursing facility visit per day, typically 35 minutes (HCPCS:99310)
  • Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less (HCPCS:15275)
  • Established patient custodial care facility, group care, or assisted living visit, typically 40 minutes (HCPCS:99336)
  • Removal of muscle and/or tissue, each additional 20.0 sq cm or less (HCPCS:11046)
  • Follow-up nursing facility visit per day, typically 35 minutes (HCPCS:99310)
  • Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less (HCPCS:15271)
  • Removal of skin and tissue, 20.0 sq cm or less (HCPCS:11042)
  • Initial nursing facility visit per day, typically 45 minutes (HCPCS:99306)
  • Removal of muscle and/or tissue, 20.0 sq cm or less (HCPCS:11043)
  • Removal of skin and tissue, 20.0 sq cm or less (HCPCS:11042)
  • Initial nursing facility visit per day, typically 45 minutes (HCPCS:99306)
  • Removal of muscle and/or tissue, 20.0 sq cm or less (HCPCS:11043)
  • Complex 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 month (HCPCS:99489)
  • Follow-up nursing facility visit per day, typically 15 minutes (HCPCS:99308)
  • Established patient custodial care facility, group care, or assisted living visit, typically 25 minutes (HCPCS:99335)
  • Advance care planning, first 30 minutes (HCPCS:99497)
  • Established patient custodial care facility, group care, or assisted living visit, typically 1 hour (HCPCS:99337)
  • Advance care planning, first 30 minutes (HCPCS:99497)
  • Follow-up nursing facility visit per day, typically 15 minutes (HCPCS:99308)
  • Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99487)
  • Nursing facility discharge management, more than 30 minutes (HCPCS:99316)
  • Initial nursing facility visit per day, typically 35 minutes (HCPCS:99305)
  • Nursing facility discharge management, more than 30 minutes (HCPCS:99316)
  • New patient custodial care facility, group care, or assisted living visit, typically 30 minutes (HCPCS:99325)

The enumeration date for this NPI number is 8/14/2014 and was last updated on 5/3/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363L00000XNurse Practitioner209-011702ILLINOISNo
2363LA2100XNurse PractitionerAcute Care5391MINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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