TIFFANY N BYNUM
NPI 1376006403
Nurse Practitioner - Family in Midland, TX

Q: What is Tiffany Bynum's NPI number?

The NPI number for Tiffany Bynum is 1376006403. It was assigned to this individual provider in the NPPES registry on April 6, 2019.

Q: What is Tiffany Bynum's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Tiffany Bynum was last updated on November 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.

Active since April 06, 2019PECOS EnrolledAccepts Medicare Assignment

4705 BRIARWOOD AVENUE, MIDLAND, TX 79707(432) 505-4145(833) 941-0864 Get Directions Write a Review

NPPES record last updated: November 15, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 15, 2024, Jul 9, 2020, Apr 6, 2019 (3 updates tracked since 2019).

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About Tiffany N Bynum NPPES

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

TIFFANY N BYNUM (NPI 1376006403) is an individual family provider in Midland, Texas, licensed in Texas (1002612) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1376006403

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameTIFFANY N BYNUM

Location Address4705 BRIARWOOD AVENUEMidland, TX 79707-2639

Mailing Address4705 Briarwood AvenueMidland, TX 79707-2639 · (432) 505-4145 · Fax (833) 941-0864

Phone(432) 505-4145

Fax(833) 941-0864

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateApril 6, 2019

Last NPPES UpdateNovember 15, 20243 updates tracked since enumeration

NPPES CertifiedNovember 13, 2024

✔ NPI 1376006403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in TX · 1002612

Also ListedRegistered NurseTaxonomy 163W00000X · License 785152 (TX)

4705 BRIARWOOD AVENUE, Midland, TX 79707

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Secondary Practice Locations 4

Location 13490 East Yukon RdOdessa, TX 79762-2010 · Phone (432) 520-4086 · Fax (833) 972-5449

Location 26950 Eastridge RoadOdessa, TX 79765-6209 · Phone (432) 505-4145 · Fax (833) 941-0862

Location 36301 Andrews HwyMidland, TX 79706-3147 · Phone (432) 505-4147 ext. 83344 · Fax (833) 449-4803

Location 4616 N Main StreetAndrews, TX 79714-5207 · Phone (432) 505-4146 · Fax (833) 450-0805

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

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 N Bynum 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 ID6608294848

PECOS Enrollment IDI20200921000308

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.

Areas of Expertise CMS Part B claims 2

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 low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

21 services21 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79707 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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 10

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

MS. TERESA LEILA CALLAHAN FNP

Nurse Practitioner (Family)