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TIFFANY SMILING FNP
NPI 1053169946
Nurse Practitioner - Family in Plymouth, NC

Active since May 07, 2024PECOS EnrolledAccepts Medicare Assignment
1509 MACKEYS RD, PLYMOUTH, NC 27962(910) 249-0093 Get Directions Write a Review

NPPES record last updated: June 27, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 27, 2024, May 7, 2024 (2 updates tracked since 2024).

About Tiffany Smiling Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIFFANY SMILING FNP (NPI 1053169946) is an individual family provider in Plymouth, North Carolina, licensed in North Carolina (5020028) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS, is affiliated with Sentara Albemarle Medical Center, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1053169946
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTIFFANY SMILINGCredential: FNP
Location Address1509 MACKEYS RDPlymouth, NC 27962-9038
Mailing Address1509 Mackeys RdPlymouth, NC 27962-9038 · (910) 249-0093
Phone(910) 249-0093
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateMay 7, 2024
Last NPPES UpdateJune 27, 20242 updates tracked since enumeration
NPPES CertifiedJune 27, 2024
✔ NPI 1053169946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NC · 5020028
Also ListedNurse PractitionerTaxonomy 363L00000X · License 5020028 (NC)
1509 MACKEYS RD, Plymouth, NC 27962
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tiffany Smiling Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9537602594
PECOS Enrollment IDI20240826000672
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Tiffany Smiling reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Usacs Integrated Acute Care Services Of North Carolina, PLLC
38 mi
Internal Medicine
1144 N ROAD ST
Elizabeth City, NC 27909
  • Reassigned Medicare billing, North Carolina enrollment
  • 176 clinicians in this Medicare group
NPI 1437869302 (252) 335-0531
Mainstreet And Kidsstreet Of North Carolina PLLC
152 mi
Urgent Care
2151 N CHURCH ST
Burlington, NC 27217
  • Reassigned Medicare billing, North Carolina enrollment
  • 106 clinicians in this Medicare group
NPI 1043170558 (336) 329-0959
Universal Health Corporation
204 mi
Internal Medicine
130 CHURCH AVE SW
Roanoke, VA 24011
  • Reassigned Medicare billing, North Carolina enrollment
  • 80 clinicians in this Medicare group
NPI 1407117625 (540) 769-3964
Emergency Medicine Physicians Of Mecklenburg County, PLLC
241 mi
Emergency Medicine
10628 PARK RD
Charlotte, NC 28210
  • Reassigned Medicare billing, North Carolina enrollment
  • 230 clinicians in this Medicare group
NPI 1912232182 (330) 493-4443

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
387 services98 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
110 services59 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
65 services48 patients
Nursing facility discharge management, more than 30 minutes 99316
Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.
19 services19 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sentara Albemarle Medical Center

Acute Care Hospitals · Elizabeth City, NC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340109
Location1144 N Road StElizabeth City, NC 27909 · Pasquotank County
Emergency services Birthing friendly

Vidant Chowan Hospital

Critical Access Hospitals · Edenton, NC
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number341318
Location211 Virginia RdEdenton, NC 27932 · Chowan County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27962 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tiffany Smiling's NPI number?

The NPI number for Tiffany Smiling is 1053169946. It was assigned to this individual provider in the NPPES registry on May 7, 2024.

Where is Tiffany Smiling located?

Tiffany Smiling practices at 1509 Mackeys Rd, Plymouth, NC 27962. The listed phone number is (910) 249-0093.

What is Tiffany Smiling's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Tiffany Smiling enrolled in Medicare?

Yes. Tiffany Smiling is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Tiffany Smiling's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tiffany Smiling reassigns Medicare benefits to 4 organizations: Usacs Integrated Acute Care Services Of North Carolina, PLLC (Elizabeth City, NC), Mainstreet And Kidsstreet Of North Carolina PLLC (Burlington, NC), Universal Health Corporation (Roanoke, VA) and Emergency Medicine Physicians Of Mecklenburg County, PLLC (Charlotte, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tiffany Smiling's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tiffany Smiling accept?

Health plans from Blue Cross and Blue Shield of NC and Cigna Healthcare list Tiffany Smiling as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Tiffany Smiling affiliated with any hospitals?

According to CMS data, Tiffany Smiling is affiliated with Sentara Albemarle Medical Center and Vidant Chowan Hospital.

When was this NPI record last updated?

The NPPES record for Tiffany Smiling was last updated on June 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.