1. Home
  2. Directory
  3. Florida
  4. Jacksonville
  5. Physician Assistant
  6. NPI Profile

TIFFANY MOMOKO SPARROW PA-C
NPI 1790401479
Physician Assistant in Jacksonville, FL

Active since October 14, 2022PECOS EnrolledAccepts Medicare Assignment
915 W MONROE ST STE 200, JACKSONVILLE, FL 32204(904) 384-2240 Get Directions Write a Review

NPPES record last updated: February 14, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Feb 14, 2025, May 1, 2024, Apr 12, 2024 and 1 more (4 updates tracked since 2022).

About Tiffany Momoko Sparrow Pa-c NPPES

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

TIFFANY MOMOKO SPARROW PA-C (NPI 1790401479) is an individual physician assistant in Jacksonville, Florida, licensed in Florida (PA9116575) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS, is affiliated with Ascension St Vincent's Riverside, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1790401479
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameTIFFANY MOMOKO SPARROWCredential: PA-C
Location Address915 W MONROE ST STE 200Jacksonville, FL 32204-1177
Mailing Address915 W Monroe St Ste 200Jacksonville, FL 32204-1177
Phone(904) 384-2240
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateOctober 14, 2022
Last NPPES UpdateFebruary 14, 20254 updates tracked since enumeration
NPPES CertifiedFebruary 14, 2025
✔ NPI 1790401479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in FL · PA9116575
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
915 W MONROE ST STE 200, Jacksonville, FL 32204
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed.Insurance ›

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 Momoko Sparrow Pa-c 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 ID9234570896
PECOS Enrollment IDI20240514001015
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 3

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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
219 services147 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
207 services130 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
113 services113 patients

Hospital Affiliations CMS Care Compare 4

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

Ascension St Vincent's Riverside

Acute Care Hospitals · Jacksonville, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100040
Location1 Shircliff WayJacksonville, FL 32204 · Duval County
Emergency services

Baptist Health Medical Center - Jacksonville

Acute Care Hospitals · Jacksonville, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100088
Location800 Prudential DrJacksonville, FL 32207 · Duval County
Emergency services Birthing friendly

Hca Florida Orange Park Hospital

Acute Care Hospitals · Orange Park, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number100226
Location2001 Kingsley AveOrange Park, FL 32073 · Clay County
Emergency services Birthing friendly

Ascension St Vincent's Clay County

Acute Care Hospitals · Middleburg, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100321
Location1670 St Vincents WayMiddleburg, FL 32068 · Clay County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32204 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
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.

NINA REIGLER PA
Physician Assistant
915 W MONROE ST STE 200
JACKSONVILLE, FL 32204
Duval County (904) 384-2240
CRYSTAL GONZALEZ APRN
Nurse Practitioner
915 W MONROE ST STE 200
JACKSONVILLE, FL 32204
Duval County (904) 384-2240
GRANT G FREIBERG APRN
Nurse Practitioner
915 W MONROE ST STE 200
JACKSONVILLE, FL 32204
Duval County (904) 384-2240
AMANDA MAZZELLA
Physician Assistant
915 W MONROE ST STE 200
JACKSONVILLE, FL 32204
Duval County (904) 384-2240
TROY TOWNSEND ELLIS PA-C
Physician Assistant
915 W MONROE ST STE 200
JACKSONVILLE, FL 32204
Duval County (904) 384-2240
DR. RAQUEL M VILLAVICENCIO MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
915 W MONROE ST STE 200
JACKSONVILLE, FL 32204
Duval County (904) 384-2240
NINA CLARK
Registered Nurse (Diabetes Educator)
915 W MONROE ST STE 200
JACKSONVILLE, FL 32204
Duval County (904) 384-2240
KIMBERLY MICHEAL ABRAMSON APRN
Nurse Practitioner
915 W MONROE ST STE 200
JACKSONVILLE, FL 32204
Duval County (407) 925-1325

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 Sparrow's NPI number?

The NPI number for Tiffany Sparrow is 1790401479. It was assigned to this individual provider in the NPPES registry on October 14, 2022.

Where is Tiffany Sparrow located?

Tiffany Sparrow practices at 915 W Monroe St Ste 200, Jacksonville, FL 32204. The listed phone number is (904) 384-2240.

What is Tiffany Sparrow's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Tiffany Sparrow enrolled in Medicare?

Yes. Tiffany Sparrow 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.

What insurance does Tiffany Sparrow accept?

Health plans from AvMed list Tiffany Sparrow as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Tiffany Sparrow affiliated with any hospitals?

According to CMS data, Tiffany Sparrow is affiliated with Ascension St Vincent's Riverside, Baptist Health Medical Center - Jacksonville, Hca Florida Orange Park Hospital and Ascension St Vincent's Clay County.

When was this NPI record last updated?

The NPPES record for Tiffany Sparrow was last updated on February 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.