Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Tiffany Van Brocklen

Individual provider Home Health Registered Nurse · NPI 1750979522

Tiffany Van Brocklen is a Nurse Practitioner in Schenectady, New York. Qualified in 2024, 2 years ago. Practices with St Mary's Healthcare, a 117-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
2
Licensed in
NY
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

3277 McDonald Ave
Schenectady, NY 12304-3940
Phone: (518) 682-7666
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F355107-01 (NY)
Home Health Registered Nurse Taxonomy 163WH0200X · Licence 718818 (NY)

Record details

NPI number1750979522
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 6, 2021
Last updated in NPPESApril 8, 2025
Certification dateApril 8, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice St. Mary'S Healthcare — 117 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients20
Services billed 21 a service is one billed item, such as a visit, a test or a procedure
Average patient age74

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at St Mary's Healthcare

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 117 clinicians in the practice; 12 are shown here.

Other providers in Schenectady