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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 GOMEZ-GRUBB NP
NPI 1275422339
Nurse Practitioner - Family in Shreveport, LA

Active since July 01, 2025PECOS EnrolledAccepts Medicare Assignment
1666 E BERT KOUNS INDUSTRIAL LOOP STE 105, SHREVEPORT, LA 71105(318) 212-3520(318) 212-3525 Get Directions Write a Review

NPPES record last updated: September 21, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 21, 2026, Jul 1, 2025 (2 updates tracked since 2025).

About Tiffany Gomez-grubb Np NPPES

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

TIFFANY GOMEZ-GRUBB NP (NPI 1275422339) is an individual family provider in Shreveport, 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-GRUBBCredential: NP
Location Address1666 E BERT KOUNS INDUSTRIAL LOOP STE 105Shreveport, LA 71105-5718
Mailing Address1666 E Bert Kouns Industrial Loop Ste 105Shreveport, LA 71105-5718 · (318) 212-3520 · Fax (318) 212-3525
Phone(318) 212-3520
Fax(318) 212-3525
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJuly 1, 2025
Last NPPES UpdateSeptember 21, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 21, 2026
✔ 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
1666 E BERT KOUNS INDUSTRIAL LOOP STE 105, Shreveport, LA 71105
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HMO Louisiana.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

Tiffany Gomez-grubb Np 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.

Medicare Billing Reassignment

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

Magnolia Family Medicine, LLC
13 mi
Family Medicine
324 PLANTATION HILLS BLVD
Stonewall, LA 71078
  • Reassigned Medicare billing, Louisiana enrollment
  • 3 clinicians in this Medicare group
NPI 1861274102 (318) 220-6879

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 71105 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 9

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

CARSON ELIZABETH SHETLEY PA-C
Physician Assistant
1666 E BERT KOUNS INDUSTRIAL LOOP STE 105
SHREVEPORT, LA 71105
Caddo Parish (318) 212-3520
PRAKASH GIDDALURI MD, MPH
Family Medicine
1666 E BERT KOUNS INDUSTRIAL LOOP STE 105
SHREVEPORT, LA 71105
Caddo Parish (318) 212-3520
DR. MICHAEL L REN MD
Family Medicine
1666 E BERT KOUNS INDUSTRIAL LOOP STE 105
SHREVEPORT, LA 71105
Caddo Parish (318) 212-3520
OMOSALEWA ADEGBOYEGA
Nurse Practitioner (Family)
1666 E BERT KOUNS INDUSTRIAL LOOP STE 105
SHREVEPORT, LA 71105
Caddo Parish (318) 212-3520
NICOLE ANNALISE BARNARD PA-C
Physician Assistant
1666 E BERT KOUNS INDUSTRIAL LOOP STE 105
SHREVEPORT, LA 71105
Caddo Parish (318) 212-3520
STEPHANIE DENNISON
Nurse Practitioner (Family)
1666 E BERT KOUNS INDUSTRIAL LOOP STE 105
SHREVEPORT, LA 71105
Caddo Parish (318) 212-3520
PAUL STUART WILSON MD
Internal Medicine
1666 E BERT KOUNS INDUSTRIAL LOOP STE 105
SHREVEPORT, LA 71105
Caddo Parish (318) 212-3520
JASON LEE BATTEN FNP-C
Nurse Practitioner (Family)
1666 E BERT KOUNS INDUSTRIAL LOOP STE 105
SHREVEPORT, LA 71105
Caddo Parish (318) 212-3520

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 1666 E Bert Kouns Industrial Loop Ste 105, Shreveport, LA 71105. The listed phone number is (318) 212-3520.

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.

Which organization bills Medicare for Tiffany Gomez-grubb's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tiffany Gomez-grubb reassigns Medicare benefits to Magnolia Family Medicine, LLC (Stonewall, LA). 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 Gomez-grubb's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tiffany Gomez-grubb accept?

Health plans from HMO Louisiana list Tiffany Gomez-grubb 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.

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 September 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 38 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.