TIFFANII SHAREE JOHNSON
NPI 1104622182
Nurse Practitioner - Acute Care in Grantsville, UT

Active since February 20, 2025PECOS EnrolledAccepts Medicare Assignment
408 ZACHARY WAY, GRANTSVILLE, UT 84029(435) 830-4936 Get Directions Write a Review

NPPES record last updated: March 31, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 31, 2026, Feb 20, 2025 (2 updates tracked since 2025).

About Tiffanii Sharee Johnson NPPES

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

TIFFANII SHAREE JOHNSON (NPI 1104622182) is an individual acute care provider in Grantsville, Utah, licensed in Utah (8716958-4405) and active in the NPI registry since February 2025. She is enrolled in Medicare PECOS, is affiliated with University Of Utah Hospitals And Clinics, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1104622182
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameTIFFANII SHAREE JOHNSON
Location Address408 ZACHARY WAYGrantsville, UT 84029-9777
Mailing Address408 Zachary WayGrantsville, UT 84029-9777 · (435) 830-4936
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateFebruary 20, 2025
Last NPPES UpdateMarch 31, 20262 updates tracked since enumeration
NPPES CertifiedMarch 31, 2026
NPI 1104622182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in UT · 8716958-4405
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 8716958-4405 (UT)
408 ZACHARY WAY, Grantsville, UT 84029

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Tiffanii Sharee Johnson 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 ID6901385178
PECOS Enrollment IDI20260209000674
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.

Hospital Affiliations CMS Care Compare

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

University Of Utah Hospitals And Clinics

Acute Care Hospitals · Salt Lake City, UT
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number460009
Location50 North Medical DriveSalt Lake City, UT 84132 · Salt Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84029 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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 Tiffanii Johnson's NPI number?

The NPI number for Tiffanii Johnson is 1104622182. It was assigned to this individual provider in the NPPES registry on February 20, 2025.

Where is Tiffanii Johnson located?

Tiffanii Johnson practices at 408 Zachary Way, Grantsville, UT 84029. The listed phone number is (435) 830-4936.

What is Tiffanii Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Tiffanii Johnson enrolled in Medicare?

Yes. Tiffanii Johnson 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.

Is Tiffanii Johnson affiliated with any hospitals?

According to CMS data, Tiffanii Johnson is affiliated with University Of Utah Hospitals And Clinics.

When was this NPI record last updated?

The NPPES record for Tiffanii Johnson was last updated on March 31, 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.