Tiffany Colborn , NP
Nurse Practitioner • Herrin, IL
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Tiffany Colborn has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Tiffany Colborn, NP was a registered Nurse Practitioner practicing in Herrin, IL. Throughout an active medical career spanning 1 years, Tiffany Colborn provided care at the practice location at 405 RUSHING DR until profile deactivation on 2022-04-01.
Tiffany Colborn maintained professional affiliations with Logan Primary Care Service Corp., Southern Illinois Medical Services Nfp and accepted Medicare assignment.
Historical Medicare Part B clinical services included urinalysis, manual test. Public procedure reimbursement records and service volume details are provided below for historical transparency.
Practice Location & Contact Primary Location
405 Rushing Dr
Herrin, IL 629483730
Medicare Profile & Education
Other
2022
✓ Accepts Assignment
In-Person Only
Specialty Benchmarks & Practice Insights
Comparative analytics for Nurse Practitioner in Herrin, IL
Practicing in Herrin, IL (4929 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Clinical Seniority & Experience Comparison
Performed Procedures & Service Volume
Top Medicare Part B procedures performed by this practitioner
| HCPCS Code & Description | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
81002
Urinalysis, manual test
|
25 | 22 | $17.00 | $3.41 |
Medical Specialties & State Licenses
CMS Verified: 2022-05-27NUCC Taxonomy Code: 363L00000X
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Hospital & Practice Group Affiliations
Southern Illinois Medical Services Nfp
405 Rushing Dr, Herrin, IL 629483730
Phone: 6189933300
Logan Primary Care Service Corp.
405 Rushing Dr, Herrin, IL 629483730
Secondary Practice Locations
502 W Saint Louis St Ste 4
West Frankfort, IL 628961968
Phone: 6189373400
2601 W Main St
Carbondale, IL 629011031
Phone: 6185495361
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Social Worker - Clinical
Licensed Clinical Social Worker
Internal Medicine
Doctor of Medicine (M.D.)
Internal Medicine - Geriatric Medicine
Doctor of Medicine (M.D.)
Social Worker - Clinical
Nurse Practitioner
Nurse Practitioner
Family Medicine
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Registered at 405 RUSHING DR, HERRIN, IL 629483730 (Tel: 6189933300)
Registered at PO BOX 3988, CARBONDALE, IL 629023988 (Tel: 6189933300)
Recorded as TIFFANY COLBORN, NP
Nurse Practitioner (License #209025019 in IL)
Record deactivated on April 01, 2022
First registered as active Individual Practitioner in NPPES Database.
Patient & Community Reviews
Verified patient ratings, medical care experiences, and facility photos
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NPI Administrative Meta
Mailing Address
Po Box 3988
Carbondale, IL 629023988
Phone: 6189933300
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