TIFFANY PACHECO PMHNP-BC
NPI 1689534505
Nurse Practitioner - Psychiatric/Mental Health in Staten Island, NY
About Tiffany Pacheco Pmhnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TIFFANY PACHECO PMHNP-BC (NPI 1689534505) is an individual psychiatric/mental health provider in Staten Island, New York, licensed in New York (407177) and active in the NPI registry since November 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Staten Island, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tiffany Pacheco Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Tiffany Pacheco reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Staten Island, NY 10310
- Reassigned Medicare billing, New York enrollment
- 305 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 10301 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.
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 Pacheco's NPI number?
The NPI number for Tiffany Pacheco is 1689534505. It was assigned to this individual provider in the NPPES registry on November 13, 2025.
Where is Tiffany Pacheco located?
Tiffany Pacheco practices at 669 Castleton Ave, Staten Island, NY 10301. The listed phone number is (718) 818-7000.
What is Tiffany Pacheco's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Tiffany Pacheco enrolled in Medicare?
Yes. Tiffany Pacheco is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Tiffany Pacheco's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tiffany Pacheco reassigns Medicare benefits to Amboy Medical Practice PC (Staten Island, NY). The 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 Pacheco'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 Pacheco was last updated on July 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.
# Tiffany Pacheco, PMHNP-BC · NPI 1689534505
Psychiatric/Mental Health physician in Staten Island, New York. Individual provider, active in the CMS NPPES registry since November 13, 2025.
## Identity
- **NPI:** 1689534505 (Entity type: Individual)
- **Enumerated:** November 13, 2025
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 407177 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 669 CASTLETON AVE, Staten Island, NY 10301-2028
- **Phone:** (718) 818-7000
## 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:** Amboy Medical Practice PC (NPI 1104692672, Staten Island, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** July 14, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1689534505) · Data from the CMS NPPES public registry.