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

Q: 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.

Q: What is Tiffany Tyson'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 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.

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: August 09, 2026.

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

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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

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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, Oscar Health Plan of North Carolina, Inc, UnitedHealthcare.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 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.

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)