MISS TIFFANY SHANNON RAY CRNA
NPI 1114097615
Nurse Anesthetist, Certified Registered in Horn Lake, MS
About Miss Tiffany Shannon Ray Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MISS TIFFANY SHANNON RAY CRNA (NPI 1114097615) is an individual nurse anesthetist, certified registered in Horn Lake, Mississippi, licensed in Mississippi (864509) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS, is affiliated with Methodist Hospitals Of Memphis, and maintains 3 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 3
Other Identifiers 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
Miss Tiffany Shannon Ray Crna 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
8Medicare enrollment records show Tiffany Ray reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Memphis, TN 38104
- Reassigned Medicare billing, Tennessee enrollment
- 255 clinicians in this Medicare group
Memphis, TN 38103
- Reassigned Medicare billing, Tennessee enrollment
- 421 clinicians in this Medicare group
Memphis, TN 38119
- Reassigned Medicare billing, Tennessee enrollment
- 13 clinicians in this Medicare group
Memphis, TN 38138
- Reassigned Medicare billing, Tennessee enrollment
- 6 clinicians in this Medicare group
Germantown, TN 38138
- Reassigned Medicare billing, Mississippi and Tennessee enrollments
- 80 clinicians in this Medicare group
Germantown, TN 38138
- Reassigned Medicare billing, Mississippi and Tennessee enrollments
- 24 clinicians in this Medicare group
Germantown, TN 38138
- Reassigned Medicare billing, Mississippi and Tennessee enrollments
- 85 clinicians in this Medicare group
Knoxville, TN 37916
- Reassigned Medicare billing, Tennessee enrollment
- Medicare enrollment name: American Anesthesiology Of Tennessee PC
- 959 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.
Areas of Expertise CMS Part B claims 5
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Methodist Hospitals Of Memphis
Acute Care Hospitals · Memphis, TNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 38637 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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 Ray's NPI number?
The NPI number for Tiffany Ray is 1114097615. It was assigned to this individual provider in the NPPES registry on November 9, 2006.
Where is Tiffany Ray located?
Tiffany Ray practices at 6410 Walnut Grove Rd, Horn Lake, MS 38637. The listed phone number is (901) 652-0880.
What is Tiffany Ray's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Tiffany Ray enrolled in Medicare?
Yes. Tiffany Ray 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 Ray's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tiffany Ray reassigns Medicare benefits to 8 organizations: Resource Anesthesiology Associates Of Tn PC (Memphis, TN), Ut Regional One Physicians Inc (Memphis, TN), Anesthesia Solutions LLC (Memphis, TN), Mid-South Vascular Physicians PLLC (Memphis, TN), Mid-South Imaging & Therapeutics, P.A. (Germantown, TN) and 3 more organizations, listed in the Medicare section above. 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 Ray's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tiffany Ray accept?
Health plans from Oscar Insurance Company list Tiffany Ray 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 Ray affiliated with any hospitals?
According to CMS data, Tiffany Ray is affiliated with Methodist Hospitals Of Memphis.
When was this NPI record last updated?
The NPPES record for Tiffany Ray was last updated on February 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Miss Tiffany Shannon Ray, CRNA · NPI 1114097615
Nurse Anesthetist, Certified Registered physician in Horn Lake, Mississippi. Individual provider, active in the CMS NPPES registry since November 9, 2006.
## Identity
- **NPI:** 1114097615 (Entity type: Individual)
- **Enumerated:** November 9, 2006
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 864509 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 6410 WALNUT GROVE RD, Horn Lake, MS 38637-2023
- **Phone:** (901) 652-0880
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging
- **Bills Medicare through:** 8 organizations under Medicare reassignment (form CMS-855R): Resource Anesthesiology Associates Of Tn PC (NPI 1316724073, Memphis, TN); Ut Regional One Physicians Inc (NPI 1093130585, Memphis, TN); Anesthesia Solutions LLC (NPI 1639758535, Memphis, TN); Mid-South Vascular Physicians PLLC (NPI 1073360061, Memphis, TN); Mid-South Imaging & Therapeutics, P.A. (NPI 1043260763, Germantown, TN); and 3 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** February 16, 2026
- **Other identifiers:** Medicaid 200020616 (MS); Medicaid Q057613 (TN)
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Source: [NPI Profile](https://npiprofile.com/npi/1114097615) · Data from the CMS NPPES public registry.