TIFFANY PUCKETT APRN-CNP
NPI 1134080542
Nurse Practitioner - Primary Care in Poteau, OK

Q: What is Tiffany Puckett's NPI number?

The NPI number for Tiffany Puckett is 1134080542. It was assigned to this individual provider in the NPPES registry on November 24, 2025.

Q: What is Tiffany Puckett's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Tiffany Puckett was last updated on April 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since November 24, 2025PECOS Enrolled

1120 TARBY RD, POTEAU, OK 74953(800) 640-9741 Get Directions Write a Review

NPPES record last updated: April 30, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 30, 2026, Nov 24, 2025 (2 updates tracked since 2025).

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About Tiffany Puckett Aprn-cnp NPPES

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

TIFFANY PUCKETT APRN-CNP (NPI 1134080542) is an individual primary care provider in Poteau, Oklahoma, licensed in Oklahoma (226129) and active in the NPI registry since November 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1134080542

Entity TypeIndividualFemale

Primary Taxonomy363LP2300X

Provider Legal NameTIFFANY PUCKETTCredential: APRN-CNP

Location Address1120 TARBY RDPoteau, OK 74953-5504

Mailing AddressPo Box 179Stigler, OK 74462-0179 · (800) 640-9741

Phone(800) 640-9741

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateNovember 24, 2025

Last NPPES UpdateApril 30, 20262 updates tracked since enumeration

NPPES CertifiedApril 30, 2026

✔ NPI 1134080542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

License✔ Licensed in OK · 226129

1120 TARBY RD, Poteau, OK 74953

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tiffany Puckett Aprn-cnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2466928254

PECOS Enrollment IDI20260420000705

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74953 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

$82.46 typical visit price

range $53.00 – $162.61

Typical copayment $20.61 (range $13.25 – $40.65)

Most-billed visit code 99203

Established Patient

$94.27 typical visit price

range $16.68 – $132.40

Typical copayment $23.56 (range $4.17 – $33.10)

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 14

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

WILBUR WHITMORE

Case Manager/Care Coordinator