DEIRDRA TIFFANY FNP
NPI 1255995692
Nurse Practitioner - Family in Washington, DC

Active since April 30, 2019PECOS EnrolledAccepts Medicare Assignment
2041 MARTIN LUTHER KING JR AVE SE STE 303, WASHINGTON, DC 20020(202) 889-7900 Get Directions Write a Review

NPPES record last updated: April 30, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Deirdra Tiffany Fnp NPPES

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

DEIRDRA TIFFANY FNP (NPI 1255995692) is an individual family provider in Washington, District Of Columbia, licensed in District Of Columbia (1040003) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1255995692
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDEIRDRA TIFFANYCredential: FNP
Location Address2041 MARTIN LUTHER KING JR AVE SE STE 303Washington, DC 20020-7036
Mailing Address924 T St Nw Apt AWashington, DC 20001-4120 · (301) 904-0429
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateApril 30, 2019
✔ NPI 1255995692 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 DC · 1040003
2041 MARTIN LUTHER KING JR AVE SE STE 303, Washington, DC 20020

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

Deirdra Tiffany Fnp 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.

PECOS PAC ID8820331697
PECOS Enrollment IDI20230822002047
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 Reassignments

4

Medicare enrollment records show Deirdra Tiffany reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
1201 SYCAMORE DR SE
Washington, DC 20032
  • Reassigned Medicare billing, District of Columbia enrollment
  • 76 clinicians in this Medicare group
Family Medicine
1050 CONNECTICUT AVE NW STE 500
Washington, DC 20036
  • Reassigned Medicare billing, District of Columbia enrollment
  • 9 clinicians in this Medicare group
Primary Care
3900 HULL STREET RD
Richmond, VA 23224
  • Reassigned Medicare billing, Virginia enrollment
  • 31 clinicians in this Medicare group
Dietitian, Registered
19 W 24TH ST FL 4
New York, NY 10010
  • Reassigned Medicare billing, District of Columbia enrollment
  • 9 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 6

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.

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
121 services48 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
42 services42 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
33 services33 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
15 services14 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
11 services11 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20020 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

Case Manager/Care Coordinator
2041 MARTIN LUTHER KING JR AVE SE STE 303
WASHINGTON, DC 20020
Dietitian, Registered
2041 MARTIN LUTHER KING JR AVE SE STE 303
WASHINGTON, DC 20020

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 Deirdra Tiffany's NPI number?

The NPI number for Deirdra Tiffany is 1255995692. It was assigned to this individual provider in the NPPES registry on April 30, 2019.

Where is Deirdra Tiffany located?

Deirdra Tiffany practices at 2041 Martin Luther King Jr Ave SE Ste 303, Washington, DC 20020. The listed phone number is (202) 889-7900.

What is Deirdra Tiffany's specialty?

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

Is Deirdra Tiffany enrolled in Medicare?

Yes. Deirdra Tiffany 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 Deirdra Tiffany's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Deirdra Tiffany reassigns Medicare benefits to 4 organizations: Whitman-Walker Clinic, Inc. (Washington, DC), Revolution Medicine Health & Fitness PLLC (Washington, DC), Osh-Va Physicians Group PLLC (Richmond, VA) and Bsh Health PA (New York, NY). 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 Deirdra Tiffany's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Deirdra Tiffany accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Blue Cross and Blue Shield of Texas list Deirdra Tiffany 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 Deirdra Tiffany was last updated on April 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.