TIFFANY S. JENSEN-WILLIAMS APRN
NPI 1063120376
Nurse Practitioner in Portland, ME

Q: What is Tiffany Jensen-williams's NPI number?

The NPI number for Tiffany Jensen-williams is 1063120376. It was assigned to this individual provider in the NPPES registry on November 7, 2022.

Q: What is Tiffany Jensen-williams's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since November 07, 2022PECOS EnrolledAccepts Medicare Assignment

84 MARGINAL WAY STE 700, PORTLAND, ME 04101(207) 774-5816 Get Directions Write a Review

NPPES record last updated: March 4, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 4, 2026, Jan 18, 2023, Nov 7, 2022 (3 updates tracked since 2022).

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About Tiffany S. Jensen-williams Aprn NPPES

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

TIFFANY S. JENSEN-WILLIAMS APRN (NPI 1063120376) is an individual nurse practitioner in Portland, Maine, licensed in Maine (CNP221521) and active in the NPI registry since November 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1063120376

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameTIFFANY S. JENSEN-WILLIAMSCredential: APRN

Location Address84 MARGINAL WAY STE 700Portland, ME 04101-2481

Mailing Address100 Gannett Dr Ste CSouth Portland, ME 04106-5900 · (207) 347-2947 · Fax (207) 874-2317

Phone(207) 774-5816

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateNovember 7, 2022

Last NPPES UpdateMarch 4, 20263 updates tracked since enumeration

NPPES CertifiedMarch 4, 2026

✔ NPI 1063120376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in ME · CNP221521

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

84 MARGINAL WAY STE 700, Portland, ME 04101

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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 S. Jensen-williams Aprn 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 ID7810367356

PECOS Enrollment IDI20221228001169

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 Reassignment

Medicare enrollment records show Tiffany Jensen-williams reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Intermed, PA

4.9 mi

Internal Medicine

100 GANNETT DR, SUITE C
South Portland, ME 04106

Reassigned Medicare billing, Maine enrollment
200 clinicians in this Medicare group

NPI 1467422733 (207) 828-0361

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

23 services21 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

15 services13 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

14 services14 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04101 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

$86.72 typical visit price

range $56.28 – $169.96

Typical copayment $21.68 (range $14.07 – $42.49)

Most-billed visit code 99203

Established Patient

$99.18 typical visit price

range $18.22 – $138.92

Typical copayment $24.79 (range $4.55 – $34.73)

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.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MOLLY R. LEVANGIE NP

Nurse Practitioner