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TIFFANY DANIELLE WILSON PMHNP-BC
NPI 1821769894
Nurse Practitioner - Psychiatric/Mental Health in Concord, NC

Active since September 21, 2021PECOS EnrolledAccepts Medicare Assignment
925 BRADLEY ST, CONCORD, NC 28025(704) 360-3637 Get Directions Write a Review

NPPES record last updated: June 24, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 24, 2024, May 9, 2022, Apr 26, 2022 and 2 more (5 updates tracked since 2021).

About Tiffany Danielle Wilson Pmhnp-bc NPPES

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

TIFFANY DANIELLE WILSON PMHNP-BC (NPI 1821769894) is an individual psychiatric/mental health provider in Concord, North Carolina, licensed in North Carolina (5016128) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Gastonia, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1821769894
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameTIFFANY DANIELLE WILSONCredential: PMHNP-BC
Location Address925 BRADLEY STConcord, NC 28025-0911
Mailing Address1218 Laurel Woods DrGastonia, NC 28052-5433 · (704) 300-4706
Phone(704) 360-3637
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 21, 2021
Last NPPES UpdateJune 24, 20245 updates tracked since enumeration
NPPES CertifiedJune 24, 2024
✔ NPI 1821769894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NC · 5016128
Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License 286968 (NC)
925 BRADLEY ST, Concord, NC 28025
Open in Google Maps ↗

Secondary Practice Location 1

Location 11218 Laurel Woods DrGastonia, NC 28052-5433 · Phone (704) 300-4706

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC, Cigna Healthcare and more.Insurance ›

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

Tiffany Danielle Wilson Pmhnp-bc 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 ID6002290566
PECOS Enrollment IDI20220831003865
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 Reassignment

Medicare enrollment records show Tiffany Wilson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Integrative Wellness Solutions, PLLC
17 mi
Psychologist
122 GATEWAY BLVD STE C
Mooresville, NC 28117
  • Reassigned Medicare billing, North Carolina enrollment
  • 197 clinicians in this Medicare group
NPI 1447760871 (704) 360-3637

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 2

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
74 services14 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
65 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28025 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.

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 Wilson's NPI number?

The NPI number for Tiffany Wilson is 1821769894. It was assigned to this individual provider in the NPPES registry on September 21, 2021.

Where is Tiffany Wilson located?

Tiffany Wilson practices at 925 Bradley St, Concord, NC 28025. The listed phone number is (704) 360-3637.

What is Tiffany Wilson's specialty?

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

Is Tiffany Wilson enrolled in Medicare?

Yes. Tiffany Wilson 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 organization bills Medicare for Tiffany Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tiffany Wilson reassigns Medicare benefits to Integrative Wellness Solutions, PLLC (Mooresville, NC). The 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 Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tiffany Wilson accept?

Health plans from AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC, Cigna Healthcare and UnitedHealthcare list Tiffany Wilson 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.

When was this NPI record last updated?

The NPPES record for Tiffany Wilson was last updated on June 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.