TIFFANY BOWEN NP
NPI 1750823795
Nurse Practitioner - Family in La Porte, IN

Active since November 08, 2016PECOS Enrolled
32.49/100
CMS Quality Rating
508 LEGACY PLZ W, LA PORTE, IN 46350(219) 575-6244(219) 380-0757 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2022, Jun 3, 2021, Sep 18, 2020 and 3 more (6 updates tracked since 2016).

About Tiffany Bowen Np NPPES

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

TIFFANY BOWEN NP (NPI 1750823795) is an individual family provider in La Porte, Indiana, licensed in Indiana (71006816A) and active in the NPI registry since November 2016. She is enrolled in Medicare PECOS and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1750823795
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTIFFANY BOWENCredential: NP
Location Address508 LEGACY PLZ WLa Porte, IN 46350-5254
Mailing Address211 N Eddy StSouth Bend, IN 46617-2808 · (574) 239-1433 · Fax (574) 239-1438
Fax(219) 380-0757
Sole ProprietorNo
Enumeration DateNovember 8, 2016
Last NPPES UpdateJuly 21, 20226 updates tracked since enumeration
NPPES CertifiedJune 3, 2021
✔ NPI 1750823795 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
Licenses✔ Licensed in IN · 71006816A✔ Licensed in IN · 28199198A
508 LEGACY PLZ W, La Porte, IN 46350

Other Names 1

Former Name (1)Tiffany Efantis

Secondary Practice Locations 4

Location 1211 N Eddy StSouth Bend, IN 46617-2808 · Phone (574) 239-1433 · Fax (574) 239-1438
Location 2809 LaPorte Ave Ste BValparaiso, IN 46383-5801 · Phone (219) 263-4977 · Fax (219) 263-4979
Location 3650 Dickinson RdChesterton, IN 46304-3387 · Phone (219) 926-7755 · Fax (219) 929-1885
Location 43630 Willowcreek RdPortage, IN 46368-5075 · Phone (219) 364-3900 · Fax (219) 364-3959

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tiffany Bowen Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

2

Medicare enrollment records show Tiffany Bowen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
85 E US HIGHWAY 6
Valparaiso, IN 46383
  • Reassigned Medicare billing, Indiana enrollment
  • 177 clinicians in this Medicare group
Internal Medicine
3518 S LAFOUNTAIN ST
Kokomo, IN 46902
  • Reassigned Medicare billing, Indiana enrollment
  • 18 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 46350 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

32.49/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality18.84
Improvement Activities20
Cost48.77

Other Providers at the Same Location NPPES 3

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

Counselor (Mental Health)
508 LEGACY PLZ W
LA PORTE, IN 46350
Clinic/Center (Federally Qualified Health Center (FQHC))
508 LEGACY PLZ W
LA PORTE, IN 46350
Nurse Practitioner (Family)
508 LEGACY PLZ W
LA PORTE, IN 46350

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 Bowen's NPI number?

The NPI number for Tiffany Bowen is 1750823795. It was assigned to this individual provider in the NPPES registry on November 8, 2016. The provider is also known as Tiffany Efantis.

Where is Tiffany Bowen located?

Tiffany Bowen practices at 508 Legacy Plz W, La Porte, IN 46350. The listed phone number is (219) 575-6244.

What is Tiffany Bowen's specialty?

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

Is Tiffany Bowen enrolled in Medicare?

Yes. Tiffany Bowen is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Tiffany Bowen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tiffany Bowen reassigns Medicare benefits to 2 organizations: Porter Physician Services LLC (Valparaiso, IN) and Chestnut Health Of Indiana PC (Kokomo, IN). 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 Tiffany Bowen'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 Bowen was last updated on July 21, 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.