TIFFANY JORDAN SMITH - NPI 1639887185 - Nurse Practitioner in Beachwood, OH

Q: What is Tiffany Smith's NPI number?

The NPI number for Tiffany Smith is 1639887185. It was assigned to this individual provider in the NPPES registry on November 14, 2022.

Q: What is Tiffany Smith's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Tiffany Smith was last updated on March 21, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Tiffany Jordan Smith NPPES

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

TIFFANY JORDAN SMITH (NPI 1639887185) is an individual psychiatric/mental health provider in Beachwood, Ohio, licensed in Ohio (0035137) and active in the NPI registry since November 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1639887185

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameTIFFANY JORDAN SMITH

Location Address23425 COMMERCE PARK STE 104Beachwood, OH 44122-5848

Mailing Address1372 Caryl DrBedford, OH 44146 · (419) 217-2884

Phone(216) 831-2900

Fax(216) 831-4306

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateNovember 14, 2022

Last NPPES UpdateMarch 21, 20253 updates tracked since enumeration

NPPES CertifiedMarch 21, 2025

✔ NPI 1639887185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in OH · 0035137

Also ListedRegistered Nurse · Psychiatric/Mental Health, AdultTaxonomy 163WP0809X · License 452706 (OH)

23425 COMMERCE PARK STE 104, Beachwood, OH 44122

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Arizona, Blue Cross Blue Shield of Michigan Mutual Insurance Company and more.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 Jordan Smith 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 ID5294268553

PECOS Enrollment IDI20241025001620

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 44122 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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 11

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

MRS. NICOLE ERIN EGLE

Nurse Practitioner (Psychiatric/Mental Health)