MRS. TIFFANY SHANTA HAROLD APRN
NPI 1083120208
Nurse Practitioner - Women's Health in Fenton, MO
About Mrs. Tiffany Shanta Harold Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. TIFFANY SHANTA HAROLD APRN (NPI 1083120208) is an individual women's health provider in Fenton, Missouri, licensed in Missouri (2017041087) and active in the NPI registry since December 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Mrs. Tiffany Shanta Harold 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.
Medicare Billing Reassignments
2Medicare enrollment records show Tiffany Harold reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fenton, MO 63026
- Reassigned Medicare billing, Missouri enrollment
- 741 clinicians in this Medicare group
Saint Louis, MO 63139
- Reassigned Medicare billing, Missouri enrollment
- Medicare enrollment name: Ssm Cardinal Glennon Children's Hospital
- 414 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 63026 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FENTON, MO 63026
FENTON, MO 63026
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 Harold's NPI number?
The NPI number for Tiffany Harold is 1083120208. It was assigned to this individual provider in the NPPES registry on December 26, 2017.
Where is Tiffany Harold located?
Tiffany Harold practices at 1011 Bowles Ave, Fenton, MO 63026. The listed phone number is (636) 496-5438.
What is Tiffany Harold's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.
Is Tiffany Harold enrolled in Medicare?
Yes. Tiffany Harold 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 Harold's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tiffany Harold reassigns Medicare benefits to 2 organizations: Ssm Health Care St Louis (Fenton, MO) and Ssm Cardinal Glennon Childrens Hospital (Saint Louis, MO). 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 Harold's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tiffany Harold accept?
Health plans from Anthem Blue Cross and Blue Shield list Tiffany Harold 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.
When was this NPI record last updated?
The NPPES record for Tiffany Harold was last updated on December 26, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Mrs. Tiffany Shanta Harold, APRN · NPI 1083120208
Women's Health physician in Fenton, Missouri. Individual provider, active in the CMS NPPES registry since December 26, 2017.
## Identity
- **NPI:** 1083120208 (Entity type: Individual)
- **Enumerated:** December 26, 2017
- **Primary specialty:** Nurse Practitioner - Women's Health · taxonomy 363LW0102X
- **State license:** 2017041087 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 1011 BOWLES AVE, Fenton, MO 63026-2395
- **Phone:** (636) 496-5438 · **Fax:** (636) 496-4998
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Ssm Health Care St Louis (NPI 1275586174, Fenton, MO); Ssm Cardinal Glennon Childrens Hospital (NPI 1073568226, Saint Louis, MO) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** December 26, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1083120208) · Data from the CMS NPPES public registry.