TIFFANY JOHNSON FNP-C
NPI 1790307403
Nurse Practitioner - Family in West Monroe, LA

Active since May 15, 2020PECOS Enrolled
109 STEPHANIE DR, WEST MONROE, LA 71291(318) 267-5075 Get Directions Write a Review

NPPES record last updated: May 30, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: May 30, 2025, May 15, 2020 (2 updates tracked since 2020).

About Tiffany Johnson Fnp-c NPPES

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

TIFFANY JOHNSON FNP-C (NPI 1790307403) is an individual family provider in West Monroe, Louisiana, licensed in Georgia (GAA-NP002355) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1790307403
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTIFFANY JOHNSONCredential: FNP-C
Location Address109 STEPHANIE DRWest Monroe, LA 71291-6975
Mailing Address109 Stephanie DrWest Monroe, LA 71291-6975 · (318) 267-5078
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateMay 15, 2020
Last NPPES UpdateMay 30, 20252 updates tracked since enumeration
NPPES CertifiedMay 30, 2025
NPI 1790307403 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 GA · GAA-NP002355 Licensed in LA · 211669
109 STEPHANIE DR, West Monroe, LA 71291

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Johnson Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID840679361
PECOS Enrollment IDI20251230001146
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 71291 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
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
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.

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 Johnson's NPI number?

The NPI number for Tiffany Johnson is 1790307403. It was assigned to this individual provider in the NPPES registry on May 15, 2020.

Where is Tiffany Johnson located?

Tiffany Johnson practices at 109 Stephanie Dr, West Monroe, LA 71291. The listed phone number is (318) 267-5075.

What is Tiffany Johnson's specialty?

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

Is Tiffany Johnson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Tiffany Johnson was last updated on May 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.