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

Tiffany Alicia Axtman

Individual provider Nurse Practitioner · NPI 1699397042

Tiffany Alicia Axtman is a Nurse Practitioner in Bemidji, Minnesota. Qualified in 2019, 7 years ago. Practices with Sanford Health of Northern Minnesota, a 349-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
7
Licensed in
MN
In the registry since
2020

Practice location Address checks out

1611 Anne St NW
Bemidji, MN 56601-5114
Phone: (218) 333-5000
Show map & directions

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

Additional practice locations (1)

  • 1601 Golf Course Rd, Grand Rapids, MN 55744-8648 — (218) 326-3401

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 7254 (MN)

Record details

NPI number1699397042
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 8, 2020
Last updated in NPPESAugust 9, 2022
Certification dateAugust 9, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Sanford Health Of Northern Minnesota — 349 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Bemidji