MRS. TIFFANY R BACCHUS FNP
NPI 1457784811
Nurse Practitioner - Family in Brooklyn, NY
About Mrs. Tiffany R Bacchus Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. TIFFANY R BACCHUS FNP (NPI 1457784811) is an individual family provider in Brooklyn, New York, licensed in New York (F337613-1) and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Tiffany R Bacchus Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
4Medicare enrollment records show Tiffany Bacchus reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Brooklyn, NY 11215
- Reassigned Medicare billing, New York enrollment
- 1,029 clinicians in this Medicare group
Brooklyn, NY 11225
- Reassigned Medicare billing, New York enrollment
New York, NY 10017
- Reassigned Medicare billing, New York enrollment
- 78 clinicians in this Medicare group
Staten Island, NY 10301
- Reassigned Medicare billing, New York enrollment
- 724 clinicians in this Medicare group
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 11215 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
BROOKLYN, NY 11215
BROOKLYN, NY 11215
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 Bacchus's NPI number?
The NPI number for Tiffany Bacchus is 1457784811. It was assigned to this individual provider in the NPPES registry on August 20, 2013.
Where is Tiffany Bacchus located?
Tiffany Bacchus practices at 506 6th St 6th Floor, Brooklyn, NY 11215. The listed phone number is (718) 780-3000.
What is Tiffany Bacchus's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Tiffany Bacchus enrolled in Medicare?
Yes. Tiffany Bacchus is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Tiffany Bacchus's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tiffany Bacchus reassigns Medicare benefits to 4 organizations: Kings Physician Services, PC (Brooklyn, NY), Element Family Health Np PLLC (Brooklyn, NY), Medical Care At Home PC (New York, NY) and Advantagecare Physicians PC (Staten Island, NY). 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 Bacchus'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 Bacchus was last updated on August 20, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.
# Mrs. Tiffany R Bacchus, FNP · NPI 1457784811
Family physician in Brooklyn, New York. Individual provider, active in the CMS NPPES registry since August 20, 2013.
## Identity
- **NPI:** 1457784811 (Entity type: Individual)
- **Enumerated:** August 20, 2013
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** F337613-1 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 506 6TH ST, 6TH FLOOR, Brooklyn, NY 11215-3609
- **Phone:** (718) 780-3000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Kings Physician Services, PC (NPI 1326698879, Brooklyn, NY); Element Family Health Np PLLC (NPI 1740087592, Brooklyn, NY); Medical Care At Home PC (NPI 1811138415, New York, NY); Advantagecare Physicians PC (NPI 1063954113, Staten Island, NY) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 20, 2013
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Source: [NPI Profile](https://npiprofile.com/npi/1457784811) · Data from the CMS NPPES public registry.