TIFFANY JUSTICE
NPI 1194682542
Nurse Practitioner - Family in Indianapolis, IN

Active since January 07, 2026PECOS Enrolled
1140 DR MLK JR ST, INDIANAPOLIS, IN 46202(317) 226-2800 Get Directions Write a Review

NPPES record last updated: May 27, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 27, 2026, Jan 7, 2026 (2 updates tracked since 2026).

About Tiffany Justice NPPES

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

TIFFANY JUSTICE (NPI 1194682542) is an individual family provider in Indianapolis, Indiana, licensed in Indiana (71017640A) and active in the NPI registry since January 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1194682542
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTIFFANY JUSTICE
Location Address1140 DR MLK JR STIndianapolis, IN 46202-2221
Mailing Address3908 Meadows Dr Ste CIndianapolis, IN 46205-3114 · (317) 957-2000
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJanuary 7, 2026
Last NPPES UpdateMay 27, 20262 updates tracked since enumeration
NPPES CertifiedMay 27, 2026
NPI 1194682542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in IN · 71017640A
1140 DR MLK JR ST, Indianapolis, IN 46202

Other Identifiers 1

Medicaid300127013IN

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

PECOS PAC ID5991282519
PECOS Enrollment IDI20260124000055
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 46202 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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 Tiffany Justice's NPI number?

The NPI number for Tiffany Justice is 1194682542. It was assigned to this individual provider in the NPPES registry on January 7, 2026.

Where is Tiffany Justice located?

Tiffany Justice practices at 1140 Dr Mlk Jr St, Indianapolis, IN 46202. The listed phone number is (317) 226-2800.

What is Tiffany Justice's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Tiffany Justice enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Tiffany Justice was last updated on May 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.