GWENDOLIN TIFANG
NPI 1700544707
Nurse Practitioner - Psychiatric/Mental Health in Baltimore, MD

Active since December 07, 2021PECOS EnrolledAccepts Medicare Assignment
84.77/100
CMS Quality Rating
6501 N CHARLES ST, BALTIMORE, MD 21204(410) 938-3000 Get Directions Write a Review

NPPES record last updated: February 22, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 22, 2022, Jan 4, 2022, Dec 7, 2021 (3 updates tracked since 2021).

About Gwendolin Tifang NPPES

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

GWENDOLIN TIFANG (NPI 1700544707) is an individual psychiatric/mental health provider in Baltimore, Maryland, licensed in Maryland (R226369) and active in the NPI registry since December 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1700544707
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameGWENDOLIN TIFANG
Location Address6501 N CHARLES STBaltimore, MD 21204-6819
Mailing Address6501 N Charles StBaltimore, MD 21204-6819 · (240) 915-5500
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateDecember 7, 2021
Last NPPES UpdateFebruary 22, 20223 updates tracked since enumeration
NPPES CertifiedFebruary 21, 2022
✔ NPI 1700544707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MD · R226369
6501 N CHARLES ST, Baltimore, MD 21204

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Gwendolin Tifang 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 ID7113312810
PECOS Enrollment IDI20220316000477, I20260410003827
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Gwendolin Tifang reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychiatry
6501 N CHARLES ST
Baltimore, MD 21204
  • Reassigned Medicare billing, Maryland enrollment
  • Medicare enrollment name: Sheppard Pratt Physicians PA
  • 187 clinicians in this Medicare group
Psychiatric/Mental Health
6000 BELLONA AVE
Baltimore, MD 21212
  • Reassigned Medicare billing, Maryland and District of Columbia enrollments
  • Also billed through NPI 1740049568 (District of Columbia)
  • 114 clinicians in this Medicare group
Psychiatric/Mental Health
2232 E MONUMENT ST
Baltimore, MD 21205
  • Reassigned Medicare billing, District of Columbia and Maryland enrollments
  • 104 clinicians in this Medicare group
Pain Management
2232 E MONUMENT ST
Baltimore, MD 21205
  • Reassigned Medicare billing, District of Columbia and Maryland enrollments
  • 132 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.

Areas of Expertise CMS Part B claims

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.

Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
17 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21204 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.77/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality58.96
Promoting Interoperability77
Improvement Activities40
Cost92.79

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.

Speech-Language Pathologist
6501 N CHARLES ST
TOWSON, MD 21204
Nurse Practitioner (Psychiatric/Mental Health)
6501 N CHARLES ST
TOWSON, MD 21204
Nurse Practitioner (Psychiatric/Mental Health)
6501 N CHARLES ST
BALTIMORE, MD 21204
Psychiatry & Neurology (Psychiatry)
6501 N CHARLES ST
BALTIMORE, MD 21204
Psychologist (Clinical)
6501 N CHARLES ST
BALTIMORE, MD 21204
Psychologist (Clinical)
6501 N CHARLES ST
TOWSON, MD 21204
Social Worker (Clinical)
6501 N CHARLES ST
BALTIMORE, MD 21204
Psychiatry & Neurology (Psychiatry)
6501 N CHARLES ST
BALTIMORE, MD 21204

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 Gwendolin Tifang's NPI number?

The NPI number for Gwendolin Tifang is 1700544707. It was assigned to this individual provider in the NPPES registry on December 7, 2021.

Where is Gwendolin Tifang located?

Gwendolin Tifang practices at 6501 N Charles St, Baltimore, MD 21204. The listed phone number is (410) 938-3000.

What is Gwendolin Tifang's specialty?

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

Is Gwendolin Tifang enrolled in Medicare?

Yes. Gwendolin Tifang 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.

Which organizations bill Medicare for Gwendolin Tifang's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gwendolin Tifang reassigns Medicare benefits to 4 organizations: Sheppard Pratt Physicians, P.A. (Baltimore, MD), Integrahealth LLC (Baltimore, MD), Spiritual Healing (Baltimore, MD) and Toller Enterprises LLC (Baltimore, MD). Each 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 Gwendolin Tifang'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 Gwendolin Tifang was last updated on February 22, 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.