TIFFANY WILLIAMS
NPI 1073454229
Nurse Practitioner - Family in Rolla, MO

Q: What is Tiffany Williams's NPI number?

The NPI number for Tiffany Williams is 1073454229. It was assigned to this individual provider in the NPPES registry on April 2, 2026. The provider is also known as Tiffany Nelson.

Q: What is Tiffany Williams's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Tiffany Williams was last updated on June 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.

Active since April 02, 2026PECOS EnrolledAccepts Medicare Assignment

1060 W 10TH ST, ROLLA, MO 65401(855) 406-3324(573) 458-8363 Get Directions Write a Review

NPPES record last updated: June 12, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Tiffany Williams NPPES

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

TIFFANY WILLIAMS (NPI 1073454229) is an individual family provider in Rolla, Missouri, licensed in Missouri (2026025205) and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS, is affiliated with Phelps County Regional Medical Center, and maintains a secondary practice location in Rolla.

NPPES Registry Identity

NPI1073454229

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameTIFFANY WILLIAMS

Location Address1060 W 10TH STRolla, MO 65401-2905

Mailing Address1050 W 10th StRolla, MO 65401-2905 · (573) 364-9000 · Fax (573) 426-2108

Phone(855) 406-3324

Fax(573) 458-8363

Sole ProprietorYes

Medical School CMSOtherGraduated 2026

Enumeration DateApril 2, 2026

Last NPPES UpdateJune 12, 2026

NPPES CertifiedJune 12, 2026

✔ NPI 1073454229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MO · 2026025205

1060 W 10TH ST, Rolla, MO 65401

Open in Google Maps ↗

Other Names 1

Former Name (1)Tiffany Nelson

Secondary Practice Location 1

Location 11000 W 10th StRolla, MO 65401-2905 · Phone (573) 458-8899 · Fax (573) 341-5611

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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 Williams 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 ID9133693740

PECOS Enrollment IDI20260706001741

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

Medicare enrollment records show Tiffany Williams reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pcrmc Medical Group, Inc

Same address

Clinic/Center

1050 W 10TH ST
Rolla, MO 65401

Reassigned Medicare billing, Missouri enrollment
145 clinicians in this Medicare group

NPI 1124237227 (573) 364-9000

Phelps County Regional Medical Center

1.4 mi

General Acute Care Hospital

1000 W 10TH ST
Rolla, MO 65401

Reassigned Medicare billing, Missouri enrollment
195 clinicians in this Medicare group

NPI 1891766051 (573) 458-8899

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

Hospital Affiliations CMS Care Compare

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

Phelps County Regional Medical Center

Acute Care Hospitals · Rolla, MO

3/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number260017

Location1000 W 10th StRolla, MO 65401 · Phelps County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65401 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

$81.64 typical visit price

range $52.28 – $161.24

Typical copayment $20.41 (range $13.07 – $40.31)

Most-billed visit code 99203

Established Patient

$93.24 typical visit price

range $16.30 – $131.05

Typical copayment $23.31 (range $4.07 – $32.76)

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 15

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

DR. JOEL AMOS LEON BECERRIL MD

Urology