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

Tiffany Lynn Maggioncalda, APNP

Individual provider Nurse Practitioner · NPI 1659257376

Tiffany Lynn Maggioncalda, APNP is a Nurse Practitioner in West Allis, Wisconsin. Qualified in 2025, 1 year ago. Practices with Aurora Medical Group, Inc, a 3,741-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
1
Licensed in
WI
In the registry since
2025
Specialties on file
2
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Practice location Address checks out

2424 S 90th St
West Allis, WI 53227-2455
Phone: (414) 328-8700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8901 W Lincoln Ave, West Allis, WI 53227-2409 — (414) 328-6000

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 17272-33 (WI)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 17272-33 (WI)

Record details

NPI number1659257376
Entity typeIndividual (Type 1)
GenderFemale
Credentials APNP
Sole proprietorNo
NPI enumeratedAugust 15, 2025
Last updated in NPPESDecember 18, 2025
Certification dateDecember 18, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Aurora Medical Group, Inc. — 3741 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in West Allis