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MRS. TIFFINI LYNN ESCH FNP-C
NPI 1861378465
Nurse Practitioner - Family in Lansing, MI

Active since August 12, 2025PECOS EnrolledAccepts Medicare Assignment
1115 S PENNSYLVANIA AVE STE 101, LANSING, MI 48912(517) 887-5922(517) 887-5982 Get Directions Write a Review

NPPES record last updated: August 20, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 20, 2026, Aug 12, 2025 (2 updates tracked since 2025).

About Mrs. Tiffini Lynn Esch Fnp-c NPPES

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

MRS. TIFFINI LYNN ESCH FNP-C (NPI 1861378465) is an individual family provider in Lansing, Michigan, licensed in Michigan (4704271456) and active in the NPI registry since August 2025. She is enrolled in Medicare PECOS, is affiliated with Memorial Healthcare, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1861378465
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. TIFFINI LYNN ESCHCredential: FNP-C
Location Address1115 S PENNSYLVANIA AVE STE 101Lansing, MI 48912-1658
Mailing Address1115 S Pennsylvania Ave Ste 101Lansing, MI 48912-1658 · (517) 887-5922 · Fax (517) 887-5982
Phone(517) 887-5922
Fax(517) 887-5982
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateAugust 12, 2025
Last NPPES UpdateAugust 20, 20262 updates tracked since enumeration
NPPES CertifiedAugust 20, 2026
✔ NPI 1861378465 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
License✔ Licensed in MI · 4704271456
1115 S PENNSYLVANIA AVE STE 101, Lansing, MI 48912
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.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

Mrs. Tiffini Lynn Esch Fnp-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 ID3971009564
PECOS Enrollment IDI20251002001469
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 Tiffini Esch reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Care Free Medical, Inc
Same address
Federally Qualified Health Center (FQHC)
1115 S PENNSYLVANIA AVE STE 101
Lansing, MI 48912
  • Reassigned Medicare billing, Michigan enrollment
  • 21 clinicians in this Medicare group
NPI 1700607405 (517) 887-5922
Memorial Hospital
24 mi
General Practice
1002 E M 21 STE 100
Owosso, MI 48867
  • Reassigned Medicare billing, Michigan enrollment
  • 328 clinicians in this Medicare group
NPI 1609030600 (989) 720-5400

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

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

Memorial Healthcare

Acute Care Hospitals · Owosso, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230121
Location826 West King StreetOwosso, MI 48867 · Shiawassee County
Emergency services Birthing friendly

Edward W Sparrow Hospital

Acute Care Hospitals · Lansing, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230230
Location1215 E Michigan AvenueLansing, MI 48912 · Ingham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48912 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 3

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

CARE FREE MEDICAL, INC
Pharmacy (Community/Retail Pharmacy)
1115 S PENNSYLVANIA AVE STE 101
LANSING, MI 48912
Ingham County (517) 887-5922
DR. FARHAN BHATTI M.D.
Family Medicine
1115 S PENNSYLVANIA AVE STE 101
LANSING, MI 48912
Ingham County (517) 887-5922
CARE FREE MEDICAL, INC
Clinic/Center (Federally Qualified Health Center (FQHC))
1115 S PENNSYLVANIA AVE STE 101
LANSING, MI 48912
Ingham County (517) 887-5922

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 Tiffini Esch's NPI number?

The NPI number for Tiffini Esch is 1861378465. It was assigned to this individual provider in the NPPES registry on August 12, 2025.

Where is Tiffini Esch located?

Tiffini Esch practices at 1115 S Pennsylvania Ave Ste 101, Lansing, MI 48912. The listed phone number is (517) 887-5922.

What is Tiffini Esch's specialty?

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

Is Tiffini Esch enrolled in Medicare?

Yes. Tiffini Esch 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 organizations bill Medicare for Tiffini Esch's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tiffini Esch reassigns Medicare benefits to 2 organizations: Care Free Medical, Inc (Lansing, MI) and Memorial Hospital (Owosso, MI). 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 Tiffini Esch's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tiffini Esch accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Tiffini Esch 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 Tiffini Esch affiliated with any hospitals?

According to CMS data, Tiffini Esch is affiliated with Memorial Healthcare and Edward W Sparrow Hospital.

When was this NPI record last updated?

The NPPES record for Tiffini Esch was last updated on August 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.