Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Tiffany Jane Tanner, PA-C

Individual provider Physician Assistant · NPI 1902131980

Mrs. Tiffany Jane Tanner, PA-C is a Physician Assistant in Basin, Wyoming. Qualified in 2009, 17 years ago. Practices with West Park Hospital District, a 82-clinician group and accepts Medicare assignment. Licensed in Wyoming.

Years since qualifying
17
Licensed in
WY
In the registry since
2009
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

525 N 5th St
Basin, WY 82410
Phone: (307) 568-3700
Fax: (307) 586-2217
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA1142 (WY)

Record details

NPI number1902131980
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 8, 2009
Last updated in NPPESMay 21, 2024
Certification dateMay 13, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice West Park Hospital District — 82 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare