Individual ProviderTiffany WelkNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address345 N Riverview St Ste 500, Wichita, KS 67203-4265(316) 616-1055PECOS EnrollmentBased on the most recent information from CMS, provider Tiffany Welk is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1730109554Provider TypeIndividualFull NameWelk, TiffanyCredentialARNPGenderFemaleSole ProprietorNoEnumeration Date7/21/2006Last Updated1/11/2023Contact InformationPractice LocationPractice Address345 N Riverview St Ste 500, Wichita, KS 67203-4265Phone(316) 616-1055Fax(855) 633-0585Mailing LocationMailing Address345 N Riverview St Ste 500, Wichita, KS 67203-4265Phone(316) 616-1055Fax(855) 633-0585Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense45894KansasProvider IdentifiersIDDescriptionIssuerID200638400BDescriptionMedicaidIssuerUnlistedKansas