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

Tiffany J Radke, APN

Individual provider Nurse Practitioner · NPI 1730588823

Tiffany J Radke, APN is a Nurse Practitioner in Saint Paul, Minnesota. Qualified in 2014, 12 years ago. Practices with Northern Lights Health LLC, an 11-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Illinois and Minnesota.

Years since qualifying
12
Licensed in
IL, MN
In the registry since
2014
Specialties on file
2
What do these letters mean?
APN — Advanced Practice Nurse
The umbrella title some states use for nurse practitioners and other advanced practice nurses.

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Practice location Address checks out

1700 University Ave W Fl 1
Saint Paul, MN 55104-3727
Phone: (651) 232-2002
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1420 W Pioneer Pkwy, Peoria, IL 61615-1941 — (309) 677-0645
  • 1420 W Pioneer Pkwy, Peoria, IL 61615-1941 — (309) 677-0645

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 5391 (MN)
Nurse Practitioner Taxonomy 363L00000X · Licence 209-011702 (IL)

Record details

NPI number1730588823
Entity typeIndividual (Type 1)
GenderFemale
Credentials APN
Sole proprietorNo
NPI enumeratedAugust 14, 2014
Last updated in NPPESMay 3, 2018

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Northern Lights Health Llc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Saint Paul