TIFFANII SHAREE JOHNSON
NPI 1104622182
Nurse Practitioner - Acute Care in Grantsville, UT
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
Specialties & Licenses 2
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
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.
Medicare Billing Reassignment
Medicare enrollment records show Tiffanii Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Salt Lake City, UT 84132
- Reassigned Medicare billing, Utah enrollment
- 2,620 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.
University Of Utah Hospitals And Clinics
Acute Care Hospitals · Salt Lake City, UTPhysician 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.
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.
Which organization bills Medicare for Tiffanii Johnson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tiffanii Johnson reassigns Medicare benefits to University Of Utah Adult Services (Salt Lake City, UT). The 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 Tiffanii Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tiffanii Johnson accept?
Health plans from BridgeSpan Health Company, Molina Healthcare and Regence BlueCross BlueShield of Utah list Tiffanii Johnson 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 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 7 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.
# Tiffanii Sharee Johnson · NPI 1104622182
Acute Care physician in Grantsville, Utah. Individual provider, active in the CMS NPPES registry since February 20, 2025.
## Identity
- **NPI:** 1104622182 (Entity type: Individual)
- **Enumerated:** February 20, 2025
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 8716958-4405 (Utah)
- **Sole proprietor:** No
## Practice location
- **Address:** 408 ZACHARY WAY, Grantsville, UT 84029-9777
- **Phone:** (435) 830-4936
## 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:** University Of Utah Adult Services (NPI 1578967345, Salt Lake City, UT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** March 31, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1104622182) · Data from the CMS NPPES public registry.