TIFFANY A GONZALO CRNP
NPI 1700167822
Nurse Practitioner - Family in Roanoke, VA

Active since September 02, 2011PECOS EnrolledAccepts Medicare Assignment
4035 ELECTRIC RD STE B, ROANOKE, VA 24018(540) 767-0380(540) 772-2370 Get Directions Write a Review

NPPES record last updated: December 18, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 18, 2025, Jul 4, 2024, Oct 31, 2022 (3 updates tracked since 2022).

About Tiffany A Gonzalo Crnp NPPES

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

TIFFANY A GONZALO CRNP (NPI 1700167822) is an individual family provider in Roanoke, Virginia, licensed in Virginia (0024185508) and active in the NPI registry since September 2011. She is enrolled in Medicare PECOS, is affiliated with Carilion Medical Center, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1700167822
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTIFFANY A GONZALOCredential: CRNP
Location Address4035 ELECTRIC RD STE BRoanoke, VA 24018-8449
Mailing Address213 S Jefferson St Ste 1006Roanoke, VA 24011-1713
Fax(540) 772-2370
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateSeptember 2, 2011
Last NPPES UpdateDecember 18, 20253 updates tracked since enumeration
NPPES CertifiedDecember 18, 2025
NPI 1700167822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in VA · 0024185508 Licensed in PA · SP011520
Also ListedNurse PractitionerTaxonomy 363L00000X · License 0024185508 (VA)
4035 ELECTRIC RD STE B, Roanoke, VA 24018

Other Names 1

Former Name (1)Tiffany A Grimes Crnp

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 A Gonzalo Crnp 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 ID1456523315
PECOS Enrollment IDI20221110002795
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 6

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
64 services46 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
52 services34 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
18 services18 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
11 services11 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
11 services11 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Carilion Medical Center

Acute Care Hospitals · Roanoke, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490024
Location1906 Belleview Avenue, SERoanoke, VA 24014 · Roanoke City County
Emergency services Birthing friendly

Lewisgale Medical Center

Acute Care Hospitals · Salem, VA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number490048
Location1900 Electric RoadSalem, VA 24153 · Salem City County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24018 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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 2

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

Family Medicine
4035 ELECTRIC RD STE B
ROANOKE, VA 24018
Family Medicine
4035 ELECTRIC RD STE B
ROANOKE, VA 24018

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 Gonzalo's NPI number?

The NPI number for Tiffany Gonzalo is 1700167822. It was assigned to this individual provider in the NPPES registry on September 2, 2011. The provider is also known as Tiffany A Grimes Crnp.

Where is Tiffany Gonzalo located?

Tiffany Gonzalo practices at 4035 Electric Rd Ste B, Roanoke, VA 24018. The listed phone number is (540) 767-0380.

What is Tiffany Gonzalo's specialty?

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

Is Tiffany Gonzalo enrolled in Medicare?

Yes. Tiffany Gonzalo 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 Gonzalo affiliated with any hospitals?

According to CMS data, Tiffany Gonzalo is affiliated with Carilion Medical Center and Lewisgale Medical Center.

When was this NPI record last updated?

The NPPES record for Tiffany Gonzalo was last updated on December 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.