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MRS. TIFFANY ELIZABETH WALTERS APRN
NPI 1417795451
Nurse Practitioner - Women's Health in Live Oak, TX

Active since July 15, 2024PECOS Enrolled
12500 JUDSON RD STE 210, LIVE OAK, TX 78233(210) 878-0090 Get Directions Write a Review

NPPES record last updated: April 27, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 27, 2026, Jul 15, 2024 (2 updates tracked since 2024).

About Mrs. Tiffany Elizabeth Walters Aprn NPPES

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

MRS. TIFFANY ELIZABETH WALTERS APRN (NPI 1417795451) is an individual women's health provider in Live Oak, Texas, licensed in Texas (1228890) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1417795451
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameMRS. TIFFANY ELIZABETH WALTERSCredential: APRN
Location Address12500 JUDSON RD STE 210Live Oak, TX 78233-4146
Mailing Address12500 Judson Rd Ste 210Live Oak, TX 78233-4146 · (210) 878-0090 · Fax (210) 878-0037
Phone(210) 878-0090
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJuly 15, 2024
Last NPPES UpdateApril 27, 20262 updates tracked since enumeration
NPPES CertifiedApril 27, 2026
✔ NPI 1417795451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License✔ Licensed in TX · 1228890
12500 JUDSON RD STE 210, Live Oak, TX 78233
Open in Google Maps ↗

Other Names 1

Former Name (1)Tiffany Elizabeth Dunlap Rn

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Tiffany Elizabeth Walters Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6305315904
PECOS Enrollment IDI20260513000784
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78233 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 3

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

SONIA MATHAI KOSHY DO
Obstetrics & Gynecology (Gynecology)
12500 JUDSON RD STE 210
LIVE OAK, TX 78233
Bexar County (210) 878-0090
MICHELLE LYNN SELF
Nurse Practitioner
12500 JUDSON RD STE 210
LIVE OAK, TX 78233
Bexar County (210) 878-0090
SUSAN ANN CROCKETT M.D.
Obstetrics & Gynecology (Gynecology)
12500 JUDSON RD STE 210
LIVE OAK, TX 78233
Bexar County (210) 878-0090

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 Walters's NPI number?

The NPI number for Tiffany Walters is 1417795451. It was assigned to this individual provider in the NPPES registry on July 15, 2024. The provider is also known as Tiffany Elizabeth Dunlap Rn.

Where is Tiffany Walters located?

Tiffany Walters practices at 12500 Judson Rd Ste 210, Live Oak, TX 78233. The listed phone number is (210) 878-0090.

What is Tiffany Walters's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Tiffany Walters enrolled in Medicare?

Yes. Tiffany Walters is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tiffany Walters was last updated on April 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.