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TIFFANY GLADYS DIRICKSON-FORD CRNP
NPI 1306472717
Nurse Practitioner in Washington, DC

Active since March 17, 2020PECOS EnrolledAccepts Medicare Assignment
1050 CONNECTICUT AVE NW STE 500, WASHINGTON, DC 20036(202) 596-8891(833) 941-2357 Get Directions Write a Review

NPPES record last updated: March 20, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 20, 2025, Jul 31, 2024, Apr 12, 2023 and 3 more (6 updates tracked since 2020).

About Tiffany Gladys Dirickson-ford Crnp NPPES

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

TIFFANY GLADYS DIRICKSON-FORD CRNP (NPI 1306472717) is an individual nurse practitioner in Washington, District Of Columbia, licensed in District Of Columbia (NP500016115) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1306472717
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameTIFFANY GLADYS DIRICKSON-FORDCredential: CRNP
Location Address1050 CONNECTICUT AVE NW STE 500Washington, DC 20036-5304
Mailing Address1050 Connecticut Ave Nw Ste 500Washington, DC 20036-5304 · (202) 596-8891
Phone(202) 596-8891
Fax(833) 941-2357
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 17, 2020
Last NPPES UpdateMarch 20, 20256 updates tracked since enumeration
NPPES CertifiedMarch 20, 2025
✔ NPI 1306472717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in DC · NP500016115
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License F0819091 (MD)
1050 CONNECTICUT AVE NW STE 500, Washington, DC 20036
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Other Names 1

Professional Name (2)Tiffany Ford Crnp

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 Gladys Dirickson-ford Crnp 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 ID3072906668
PECOS Enrollment IDI20220202002741, I20230425000739
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

3

Medicare enrollment records show Tiffany Dirickson-ford reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Revolution Medicine Health & Fitness PLLC
Same address
Family Medicine
1050 CONNECTICUT AVE NW STE 500
Washington, DC 20036
  • Reassigned Medicare billing, District of Columbia and Maryland enrollments
  • 9 clinicians in this Medicare group
NPI 1245887959 (202) 596-8891
A Clean Start LLC
37 mi
General Practice
3 GREENWOOD PL STE 108
Pikesville, MD 21208
  • Reassigned Medicare billing, Maryland enrollment
  • 2 clinicians in this Medicare group
NPI 1194295881 (410) 205-7698
Our Family Healthcare
39 mi
Primary Care
1576 MERRITT BLVD, SUITE 15
Dundalk, MD 21222
  • Reassigned Medicare billing, Maryland enrollment
  • 2 clinicians in this Medicare group
NPI 1740937366 (443) 530-6165

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20036 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 20

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

DR. JEWEL BYNOE OSBORNE-WU M.D.
Family Medicine
1050 CONNECTICUT AVE NW STE 500
WASHINGTON, DC 20036
District of Columbia (202) 596-8891
SADE AJANAY HAWKINS
Behavior Technician
1050 CONNECTICUT AVE NW STE 500
WASHINGTON, DC 20036
District of Columbia (833) 599-2560
UMM-E-FARWA JAFRI
Behavior Analyst
1050 CONNECTICUT AVE NW STE 500
WASHINGTON, DC 20036
District of Columbia (732) 515-3709
DANIELLE CARLOS
Behavior Technician
1050 CONNECTICUT AVE NW STE 500
WASHINGTON, DC 20036
District of Columbia (866) 586-4861
ELIJAH DARNELL JAMISON
Behavior Technician
1050 CONNECTICUT AVE NW STE 500
WASHINGTON, DC 20036
District of Columbia (833) 599-2560
TAMARA ELIZABETH JOYNER
Behavior Technician
1050 CONNECTICUT AVE NW STE 500
WASHINGTON, DC 20036
District of Columbia (833) 599-2560
ICESIS THOMPSON
Behavior Technician
1050 CONNECTICUT AVE NW STE 500
WASHINGTON, DC 20036
District of Columbia (833) 599-2560
DAEJA MURPHY
Behavior Technician
1050 CONNECTICUT AVE NW STE 500
WASHINGTON, DC 20036
District of Columbia (833) 599-2560

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 Dirickson-ford's NPI number?

The NPI number for Tiffany Dirickson-ford is 1306472717. It was assigned to this individual provider in the NPPES registry on March 17, 2020. The provider is also known as Tiffany Ford Crnp.

Where is Tiffany Dirickson-ford located?

Tiffany Dirickson-ford practices at 1050 Connecticut Ave NW Ste 500, Washington, DC 20036. The listed phone number is (202) 596-8891.

What is Tiffany Dirickson-ford's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Tiffany Dirickson-ford enrolled in Medicare?

Yes. Tiffany Dirickson-ford 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 Tiffany Dirickson-ford's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tiffany Dirickson-ford reassigns Medicare benefits to 3 organizations: Revolution Medicine Health & Fitness PLLC (Washington, DC), A Clean Start LLC (Pikesville, MD) and Our Family Healthcare (Dundalk, MD). 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 Tiffany Dirickson-ford's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Tiffany Dirickson-ford was last updated on March 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.