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TIFFANY FARRIS DOUGLAS BSN, RN
NPI 1831948611
Nurse Practitioner - Family in Roanoke, VA

Active since May 15, 2024PECOS Enrolled
1906 BELLEVIEW AVE SE, ROANOKE, VA 24014(540) 981-7000 Get Directions Write a Review

NPPES record last updated: October 10, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 10, 2024, May 15, 2024 (2 updates tracked since 2024).

About Tiffany Farris Douglas Bsn, Rn NPPES

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

TIFFANY FARRIS DOUGLAS BSN, RN (NPI 1831948611) is an individual family provider in Roanoke, Virginia, licensed in Virginia (0024191399) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1831948611
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTIFFANY FARRIS DOUGLASCredential: BSN, RN
Location Address1906 BELLEVIEW AVE SERoanoke, VA 24014-1838
Mailing Address2724 Edgewood St SwRoanoke, VA 24015-2628 · (540) 293-0724
Phone(540) 981-7000
Sole ProprietorNo
Enumeration DateMay 15, 2024
Last NPPES UpdateOctober 10, 20242 updates tracked since enumeration
NPPES CertifiedOctober 10, 2024
✔ NPI 1831948611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in VA · 0024191399
Also ListedRegistered Nurse · General PracticeTaxonomy 163WG0000X · License 0001238396 (VA)
1906 BELLEVIEW AVE SE, Roanoke, VA 24014
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Other Names 1

Former Name (1)Tiffany Marie Farris Bsn, Rn

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tiffany Farris Douglas Bsn, Rn 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 Douglas reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Universal Health Corporation
1.3 mi
Internal Medicine
130 CHURCH AVE SW
Roanoke, VA 24011
  • Reassigned Medicare billing, Virginia enrollment
  • 194 clinicians in this Medicare group
NPI 1407117625 (540) 769-3964
Pai Participant 1 LLC
219 mi
Geriatric Medicine
60 MARIETTA RD
Chillicothe, OH 45601
  • Reassigned Medicare billing, Virginia enrollment
  • 210 clinicians in this Medicare group
NPI 1093371312 (859) 291-4800

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 24014 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

JOHN K THOMPSON PA-C, ATC
Physician Assistant
1906 BELLEVIEW AVE SE
ROANOKE, VA 24014
Roanoke City (540) 981-7000
DR. JAMES LIGHT MD
Anesthesiology
1906 BELLEVIEW AVE SE
ROANOKE, VA 24014
Roanoke City (540) 981-7000
SUJINA PRADHAN M.D.
Family Medicine
1906 BELLEVIEW AVE SE
ROANOKE, VA 24014
Roanoke City (540) 981-7000
DR. SAMMY ZAKI ELSARRAG M.D.
Anesthesiology
1906 BELLEVIEW AVE SE
ROANOKE, VA 24014
Roanoke City (540) 981-7000
NIMA JAHROMI DO
Student in an Organized Health Care Education/Training Program
1906 BELLEVIEW AVE SE
ROANOKE, VA 24014
Roanoke City (540) 981-7000
TAYLOR ALEXIS KEYS
Student in an Organized Health Care Education/Training Program
1906 BELLEVIEW AVE SE
ROANOKE, VA 24014
Roanoke City (540) 981-7000
NATHAN WILLIAM WAKEFIELD
Student in an Organized Health Care Education/Training Program
1906 BELLEVIEW AVE SE
ROANOKE, VA 24014
Roanoke City (540) 981-7000
ASHLYN BROOKE CONRAD
Nurse Practitioner
1906 BELLEVIEW AVE SE
ROANOKE, VA 24014
Roanoke City (540) 981-7000

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 Douglas's NPI number?

The NPI number for Tiffany Douglas is 1831948611. It was assigned to this individual provider in the NPPES registry on May 15, 2024. The provider is also known as Tiffany Marie Farris Bsn, Rn.

Where is Tiffany Douglas located?

Tiffany Douglas practices at 1906 Belleview Ave SE, Roanoke, VA 24014. The listed phone number is (540) 981-7000.

What is Tiffany Douglas's specialty?

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

Is Tiffany Douglas enrolled in Medicare?

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

Which organizations bill Medicare for Tiffany Douglas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tiffany Douglas reassigns Medicare benefits to 2 organizations: Universal Health Corporation (Roanoke, VA) and Pai Participant 1 LLC (Chillicothe, OH). 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 Douglas'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 Douglas was last updated on October 10, 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.