TIFFANY L VARDON PA-C
NPI 1891738928
Physician Assistant in Grand Rapids, MI

Active since June 14, 2006PECOS EnrolledAccepts Medicare Assignment
200 JEFFERSON AVE SE, 6 SOUTH #626, GRAND RAPIDS, MI 49503(616) 685-5039(616) 685-8910 Get Directions Write a Review

NPPES record last updated: June 30, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tiffany L Vardon Pa-c NPPES

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

TIFFANY L VARDON PA-C (NPI 1891738928) is an individual physician assistant in Grand Rapids, Michigan, licensed in Michigan (5601004741) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1891738928
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameTIFFANY L VARDONCredential: PA-C
Location Address200 JEFFERSON AVE SE, 6 SOUTH #626Grand Rapids, MI 49503-4502
Mailing Address245 State St Se, Ste 1aGrand Rapids, MI 49503-4328 · (616) 685-1808 · Fax (616) 913-1850
Fax(616) 685-8910
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateJune 14, 2006
Last NPPES UpdateJune 30, 2009
NPI 1891738928 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 MI · 5601004741
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.

200 JEFFERSON AVE SE, Grand Rapids, MI 49503

Other Names 1

Former Name (1)Tiffany L Woods Pa-c

Other Identifiers 1

Medicare PINP32930164MI

Accepted 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 L Vardon 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 ID4981617651
PECOS Enrollment IDI20060725000039
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 49503 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
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

Physical Therapist
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Nurse Anesthetist, Certified Registered
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Emergency Medicine
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Pediatrics (Neonatal-Perinatal Medicine)
200 JEFFERSON AVE SE, NICU
GRAND RAPIDS, MI 49503
Durable Medical Equipment & Medical Supplies
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Occupational Therapist
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Nurse Practitioner (Family)
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Registered Nurse
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503

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 Vardon's NPI number?

The NPI number for Tiffany Vardon is 1891738928. It was assigned to this individual provider in the NPPES registry on June 14, 2006. The provider is also known as Tiffany L Woods Pa-C.

Where is Tiffany Vardon located?

Tiffany Vardon practices at 200 Jefferson Ave SE 6 South #626, Grand Rapids, MI 49503. The listed phone number is (616) 685-5039.

What is Tiffany Vardon's specialty?

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

Is Tiffany Vardon enrolled in Medicare?

Yes. Tiffany Vardon 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 Vardon accept?

Health plans from Oscar Insurance Company and Priority Health list Tiffany Vardon 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 Vardon was last updated on June 30, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.