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TIFFANY DESHELIA TYSON DNP, FNP-C, PMHNP-BC
NPI 1497071153
Nurse Practitioner - Family in Raleigh, NC

Active since April 20, 2010PECOS EnrolledAccepts Medicare Assignment
2340 SPRING FOREST RD, RALEIGH, NC 27615(866) 389-2727(401) 216-3854 Get Directions Write a Review

NPPES record last updated: April 14, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 14, 2022, Jan 27, 2016, Dec 16, 2015 (3 updates tracked since 2015).

About Tiffany Deshelia Tyson Dnp, Fnp-c, Pmhnp-bc NPPES

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

TIFFANY DESHELIA TYSON DNP, FNP-C, PMHNP-BC (NPI 1497071153) is an individual family provider in Raleigh, North Carolina, licensed in North Carolina (5004707) and active in the NPI registry since April 2010. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1497071153
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTIFFANY DESHELIA TYSONCredential: DNP, FNP-C, PMHNP-BC
Location Address2340 SPRING FOREST RDRaleigh, NC 27615-7528
Mailing AddressPo Box 2723Rocky Mount, NC 27802-2723 · (252) 210-9865 · Fax (252) 822-5067
Phone(866) 389-2727
Fax(401) 216-3854
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateApril 20, 2010
Last NPPES UpdateApril 14, 20223 updates tracked since enumeration
NPPES CertifiedApril 14, 2022
✔ NPI 1497071153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NC · 5004707
Also ListedRegistered NurseTaxonomy 163W00000X · License 179114 (NC)
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 5004707 (NC)
2340 SPRING FOREST RD, Raleigh, NC 27615
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1300 N Grace StRocky Mount, NC 27804-5345 · Phone (252) 210-9865 · Fax (252) 822-5067
Location 290 Guardian CtRocky Mount, NC 27804-3017 · Phone (252) 212-3350

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Cigna Healthcare, Oscar Health Plan of North Carolina, Inc and more.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 Deshelia Tyson Dnp, Fnp-c, Pmhnp-bc 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 ID3173652997
PECOS Enrollment IDI20100603000321
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 Tyson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Minuteclinic Diagnostic Of North Carolina PC
Same address
Family
2340 SPRING FOREST RD
Raleigh, NC 27615
  • Reassigned Medicare billing, North Carolina enrollment
  • 290 clinicians in this Medicare group
NPI 1699748608 (866) 389-2727
Minuteclinic Primary Care North Carolina PLLC
Same address
Family
2340 SPRING FOREST RD
Raleigh, NC 27615
  • Reassigned Medicare billing, North Carolina enrollment
  • 168 clinicians in this Medicare group
NPI 1356159818 (866) 389-2727
Opportunities Industrialization Center, Inc.
42 mi
Federally Qualified Health Center (FQHC)
90 GUARDIAN CT
Rocky Mount, NC 27804
NPI 1396103305 (252) 212-3350

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 27615 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

MRS. LAURIE A EDWARDS NP-C
Nurse Practitioner (Family)
2340 SPRING FOREST RD
RALEIGH, NC 27615
Wake County (704) 872-6355
MACY BLACKWELL FNP
Nurse Practitioner (Family)
2340 SPRING FOREST RD
RALEIGH, NC 27615
Wake County (866) 389-2727
CVS/CAREMARK
Community/Behavioral Health
2340 SPRING FOREST RD
RALEIGH, NC 27615
Wake County (919) 790-6401
SARAH BAKER FNP-C
Nurse Practitioner (Family)
2340 SPRING FOREST RD
RALEIGH, NC 27615
Wake County (919) 790-6401
MINUTECLINIC DIAGNOSTIC OF NORTH CAROLINA PC
Nurse Practitioner (Family)
2340 SPRING FOREST RD
RALEIGH, NC 27615
Wake County (866) 389-2727
SOPHIA PRASKALA FNP-C
Nurse Practitioner (Family)
2340 SPRING FOREST RD
RALEIGH, NC 27615
Wake County (866) 389-2727
ASHLEY SIMMONS PHARMD
Pharmacist
2340 SPRING FOREST RD
RALEIGH, NC 27615
Wake County (919) 790-6401
REENA SHARMA
Nurse Practitioner (Family)
2340 SPRING FOREST RD
RALEIGH, NC 27615
Wake County (866) 389-2727

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 Tyson's NPI number?

The NPI number for Tiffany Tyson is 1497071153. It was assigned to this individual provider in the NPPES registry on April 20, 2010.

Where is Tiffany Tyson located?

Tiffany Tyson practices at 2340 Spring Forest Rd, Raleigh, NC 27615. The listed phone number is (866) 389-2727.

What is Tiffany Tyson's specialty?

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

Is Tiffany Tyson enrolled in Medicare?

Yes. Tiffany Tyson 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 Tyson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tiffany Tyson reassigns Medicare benefits to 3 organizations: Minuteclinic Diagnostic Of North Carolina PC (Raleigh, NC), Minuteclinic Primary Care North Carolina PLLC (Raleigh, NC) and Opportunities Industrialization Center, Inc. (Rocky Mount, NC). 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 Tyson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tiffany Tyson accept?

Health plans from Blue Cross and Blue Shield of NC, Cigna Healthcare, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Tiffany Tyson 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.

When was this NPI record last updated?

The NPPES record for Tiffany Tyson was last updated on April 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.