TIFFANY CRYSTAL PENN MSN, RN CRNP
NPI 1093041261
Nurse Practitioner - Primary Care in Newark, DE

Active since October 23, 2009PECOS EnrolledAccepts Medicare Assignment
15 DENNY CIR, NEWARK, DE 19702(215) 240-0445 Get Directions Write a Review

NPPES record last updated: March 9, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Tiffany Crystal Penn Msn, Rn Crnp NPPES

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

TIFFANY CRYSTAL PENN MSN, RN CRNP (NPI 1093041261) is an individual primary care provider in Newark, Delaware, licensed in Delaware (AG03250008) and active in the NPI registry since October 2009. She is enrolled in Medicare PECOS, is affiliated with Mercy Catholic Medical Center- Mercy Fitzgerald, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1093041261
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameTIFFANY CRYSTAL PENNCredential: MSN, RN CRNP
Location Address15 DENNY CIRNewark, DE 19702-5925
Mailing Address69 E Clapier StPhiladelphia, PA 19144-5932
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateOctober 23, 2009
Last NPPES UpdateMarch 9, 2025
NPPES CertifiedMarch 9, 2025
✔ NPI 1093041261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in DE · AG03250008
Also ListedLicensed Practical NurseTaxonomy 164W00000X · License PN279988 (PA)
15 DENNY CIR, Newark, DE 19702

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

Tiffany Crystal Penn Msn, Rn Crnp 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 ID6305330697
PECOS Enrollment IDI20251215000355
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

2

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

Nurse Practitioner
45 LOGGERS MILL RD
Horsham, PA 19044
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 36 clinicians in this Medicare group
Nurse Practitioner
8820 COLUMBIA 100 PKWY STE 430
Columbia, MD 21045
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 24 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.

Hospital Affiliations CMS Care Compare

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

Mercy Catholic Medical Center- Mercy Fitzgerald

Acute Care Hospitals · Darby, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390156
Location1500 Lansdowne AveDarby, PA 19023 · Delaware County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19702 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
$88.37 typical visit price
range $57.12 – $173.08
Typical copayment $22.09 (range $14.28 – $43.27)
Most-billed visit code 99203
Established Patient
$100.68 typical visit price
range $18.36 – $141.05
Typical copayment $25.17 (range $4.59 – $35.26)
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 Penn's NPI number?

The NPI number for Tiffany Penn is 1093041261. It was assigned to this individual provider in the NPPES registry on October 23, 2009.

Where is Tiffany Penn located?

Tiffany Penn practices at 15 Denny Cir, Newark, DE 19702. The listed phone number is (215) 240-0445.

What is Tiffany Penn's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Tiffany Penn enrolled in Medicare?

Yes. Tiffany Penn 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 Penn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tiffany Penn reassigns Medicare benefits to 2 organizations: Vitality Np Group LLC (Horsham, PA) and Provider Partners Care Management LP (Columbia, MD). 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 Penn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tiffany Penn accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Tiffany Penn 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 Penn affiliated with any hospitals?

According to CMS data, Tiffany Penn is affiliated with Mercy Catholic Medical Center- Mercy Fitzgerald.

When was this NPI record last updated?

The NPPES record for Tiffany Penn was last updated on March 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.