TIFFANY GOMEZ-GRUBB
NPI 1275422339
Nurse Practitioner - Family in Stonewall, LA

Active since July 01, 2025PECOS EnrolledAccepts Medicare Assignment
324 PLANTATION HILLS BLVD, STONEWALL, LA 71078(318) 531-8543 Get Directions Write a Review

NPPES record last updated: July 1, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tiffany Gomez-grubb NPPES

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

TIFFANY GOMEZ-GRUBB (NPI 1275422339) is an individual family provider in Stonewall, Louisiana, licensed in Louisiana (208272) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS, is affiliated with Christus Shreveport-bossier Health System, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1275422339
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTIFFANY GOMEZ-GRUBB
Location Address324 PLANTATION HILLS BLVDStonewall, LA 71078-2838
Mailing Address324 Plantation Hills BlvdStonewall, LA 71078-2838
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJuly 1, 2025
NPPES CertifiedJuly 1, 2025
NPI 1275422339 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 LA · 208272
324 PLANTATION HILLS BLVD, Stonewall, LA 71078

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Tiffany Gomez-grubb 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 ID8921598319
PECOS Enrollment IDI20251105000194
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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Christus Shreveport-Bossier Health System

Acute Care Hospitals · Shreveport, LA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190041
Location1453 E Bert Kouns Industrial LoopShreveport, LA 71105 · Caddo County
Emergency services Birthing friendly

Willis Knighton Medical Center

Acute Care Hospitals · Shreveport, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190111
Location2600 Greenwood RoadShreveport, LA 71103 · Caddo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71078 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
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
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 3

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

Nurse Practitioner (Family)
324 PLANTATION HILLS BLVD
STONEWALL, LA 71078
Family Medicine
324 PLANTATION HILLS BLVD
STONEWALL, LA 71078
Nurse Practitioner (Family)
324 PLANTATION HILLS BLVD
STONEWALL, LA 71078

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 Gomez-grubb's NPI number?

The NPI number for Tiffany Gomez-grubb is 1275422339. It was assigned to this individual provider in the NPPES registry on July 1, 2025.

Where is Tiffany Gomez-grubb located?

Tiffany Gomez-grubb practices at 324 Plantation Hills Blvd, Stonewall, LA 71078. The listed phone number is (318) 531-8543.

What is Tiffany Gomez-grubb's specialty?

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

Is Tiffany Gomez-grubb enrolled in Medicare?

Yes. Tiffany Gomez-grubb 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.

Is Tiffany Gomez-grubb affiliated with any hospitals?

According to CMS data, Tiffany Gomez-grubb is affiliated with Christus Shreveport-Bossier Health System and Willis Knighton Medical Center.

When was this NPI record last updated?

The NPPES record for Tiffany Gomez-grubb was last updated on July 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.