TIFFANY CLEMMEY FNP
NPI 1528658697
Nurse Practitioner - Family in Jacksonville, NC

Active since January 22, 2021PECOS EnrolledAccepts Medicare Assignment
114A MEMORIAL DR, JACKSONVILLE, NC 28546(910) 353-0700 Get Directions Write a Review

NPPES record last updated: January 22, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tiffany Clemmey Fnp NPPES

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

TIFFANY CLEMMEY FNP (NPI 1528658697) is an individual family provider in Jacksonville, North Carolina, licensed in North Carolina (5014006) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS, is affiliated with Mary Immaculate Hospital, and is a graduate of North Carolina Medical School (2020).

NPPES Registry Identity

NPI1528658697
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTIFFANY CLEMMEYCredential: FNP
Location Address114A MEMORIAL DRJacksonville, NC 28546-6328
Mailing Address118 Memorial DrJacksonville, NC 28546-6328 · (910) 219-8326 · Fax (910) 939-4269
Sole ProprietorNo
Medical School CMSNorth Carolina Medical SchoolGraduated 2020
Enumeration DateJanuary 22, 2021
NPPES CertifiedJanuary 20, 2021
NPI 1528658697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NC · 5014006
114A MEMORIAL DR, Jacksonville, NC 28546

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 Clemmey Fnp 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 ID2769899509
PECOS Enrollment IDI20230103002017
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 3

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
84 services83 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
52 services52 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
13 services12 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mary Immaculate Hospital

Acute Care Hospitals · Newport News, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490041
Location2 Bernardine DriveNewport News, VA 23602 · Newport News City County
Emergency services Birthing friendly

Riverside Regional Medical Center

Acute Care Hospitals · Newport News, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490052
Location500 J Clyde Morris BlvdNewport News, VA 23601 · Newport News City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28546 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 6

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

Nurse Practitioner (Family)
114A MEMORIAL DR
JACKSONVILLE, NC 28546
Preferred Provider Organization
114A MEMORIAL DR
JACKSONVILLE, NC 28546
Obstetrics & Gynecology
114A MEMORIAL DR
JACKSONVILLE, NC 28546
Physician Assistant
114A MEMORIAL DR
JACKSONVILLE, NC 28546
Nurse Practitioner (Family)
114A MEMORIAL DR
JACKSONVILLE, NC 28546
Physician Assistant (Medical)
114A MEMORIAL DR
JACKSONVILLE, NC 28546

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 Clemmey's NPI number?

The NPI number for Tiffany Clemmey is 1528658697. It was assigned to this individual provider in the NPPES registry on January 22, 2021.

Where is Tiffany Clemmey located?

Tiffany Clemmey practices at 114A Memorial Dr, Jacksonville, NC 28546. The listed phone number is (910) 353-0700.

What is Tiffany Clemmey's specialty?

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

Is Tiffany Clemmey enrolled in Medicare?

Yes. Tiffany Clemmey 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.

Is Tiffany Clemmey affiliated with any hospitals?

According to CMS data, Tiffany Clemmey is affiliated with Mary Immaculate Hospital and Riverside Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Tiffany Clemmey was last updated on January 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.