TIFFANY BRUNSON FNP-C
NPI 1770018095
Nurse Practitioner - Family in Charlotte, NC

Q: What is Tiffany Brunson's NPI number?

The NPI number for Tiffany Brunson is 1770018095. It was assigned to this individual provider in the NPPES registry on April 24, 2017.

Q: What is Tiffany Brunson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Tiffany Brunson was last updated on September 8, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 24, 2017PECOS Enrolled

9915 PARK CEDAR DR, CHARLOTTE, NC 28210(704) 544-3263 Get Directions Write a Review

NPPES record last updated: September 8, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 8, 2020, Apr 24, 2017 (2 updates tracked since 2017).

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About Tiffany Brunson Fnp-c NPPES

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

TIFFANY BRUNSON FNP-C (NPI 1770018095) is an individual family provider in Charlotte, North Carolina, licensed in North Carolina (5011708) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770018095

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameTIFFANY BRUNSONCredential: FNP-C

Location Address9915 PARK CEDAR DRCharlotte, NC 28210-8905

Mailing Address1720 Ripple Way Unit 2301Charlotte, NC 28262-6601 · (843) 992-9415

Phone(704) 544-3263

Sole ProprietorNo

Enumeration DateApril 24, 2017

Last NPPES UpdateSeptember 8, 20202 updates tracked since enumeration

NPPES CertifiedSeptember 8, 2020

✔ NPI 1770018095 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 NC · 5011708✔ Licensed in SC · 20898

9915 PARK CEDAR DR, Charlotte, NC 28210

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tiffany Brunson Fnp-c 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28210 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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 20

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

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