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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TIFFANY REYNOLDS NP
NPI 1114583093
Nurse Practitioner - Women's Health in Dallas, TX

Active since May 15, 2019PECOS Enrolled
14114 DALLAS PKWY STE 310, DALLAS, TX 75254(844) 864-8928(817) 549-7724 Get Directions Write a Review

NPPES record last updated: September 29, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 29, 2026, Oct 3, 2024, Jun 7, 2023 and 4 more (7 updates tracked since 2019).

About Tiffany Reynolds Np NPPES

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

TIFFANY REYNOLDS NP (NPI 1114583093) is an individual women's health provider in Dallas, Texas, licensed in Texas (1017247) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114583093
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameTIFFANY REYNOLDSCredential: NP
Location Address14114 DALLAS PKWY STE 310Dallas, TX 75254-1315
Mailing Address539 W Commerce St # 4488Dallas, TX 75208-1953 · (844) 864-8928 · Fax (214) 887-0558
Phone(844) 864-8928
Fax(817) 549-7724
Sole ProprietorNo
Enumeration DateMay 15, 2019
Last NPPES UpdateSeptember 29, 20267 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2026
✔ NPI 1114583093 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
Licenses✔ Licensed in TX · 1017247✔ Licensed in MD · R2337701✔ Licensed in MD · R237701
14114 DALLAS PKWY STE 310, Dallas, TX 75254
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tiffany Reynolds Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Tiffany Reynolds reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Bloom Integrative Wellness Center Of South Lake, LLC
Same address
Women's Health
14114 DALLAS PKWY STE 310
Dallas, TX 75254
  • Reassigned Medicare billing, Texas enrollment
NPI 1033831227 (844) 864-8928

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 75254 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BLOOM INTEGRATIVE WELLNESS CENTER OF SOUTH LAKE, LLC
Nurse Practitioner (Women's Health)
14114 DALLAS PKWY STE 310
DALLAS, TX 75254
Dallas County (844) 864-8928
JANEISHA S. MAYS
Nurse Practitioner (Family)
14114 DALLAS PKWY STE 310
DALLAS, TX 75254
Dallas County (945) 265-7963

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 Reynolds's NPI number?

The NPI number for Tiffany Reynolds is 1114583093. It was assigned to this individual provider in the NPPES registry on May 15, 2019.

Where is Tiffany Reynolds located?

Tiffany Reynolds practices at 14114 Dallas Pkwy Ste 310, Dallas, TX 75254. The listed phone number is (844) 864-8928.

What is Tiffany Reynolds's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Tiffany Reynolds enrolled in Medicare?

Yes. Tiffany Reynolds is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tiffany Reynolds's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tiffany Reynolds reassigns Medicare benefits to Bloom Integrative Wellness Center Of South Lake, LLC (Dallas, TX). 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 Tiffany Reynolds's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tiffany Reynolds accept?

Health plans from Blue Cross and Blue Shield of Texas list Tiffany Reynolds 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 Reynolds was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days 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.