TIFFANY LILES APRN
NPI 1922480599
Nurse Practitioner - Family in Jacksonville, FL

Active since June 19, 2015PECOS Enrolled
10151 DEERWOOD PARK BLVD, JACKSONVILLE, FL 32256(904) 252-6284 Get Directions Write a Review

NPPES record last updated: May 7, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 7, 2020, Feb 27, 2020, Aug 20, 2019 (3 updates tracked since 2019).

About Tiffany Liles Aprn NPPES

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

TIFFANY LILES APRN (NPI 1922480599) is an individual family provider in Jacksonville, Florida, licensed in Florida (APRN9457993) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in Jacksonville.

NPPES Registry Identity

NPI1922480599
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTIFFANY LILESCredential: APRN
Location Address10151 DEERWOOD PARK BLVDJacksonville, FL 32256-0566
Mailing Address7406 Fullerton St Ste 105Jacksonville, FL 32256-3588 · (778) 684-8278
Sole ProprietorNo
Enumeration DateJune 19, 2015
Last NPPES UpdateMay 7, 20203 updates tracked since enumeration
NPPES CertifiedMay 7, 2020
✔ NPI 1922480599 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 FL · APRN9457993
10151 DEERWOOD PARK BLVD, Jacksonville, FL 32256

Secondary Practice Location 1

Location 17406 Fullerton St Ste 105Jacksonville, FL 32256-3588 · Phone (778) 684-8278

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tiffany Liles Aprn 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

4

Medicare enrollment records show Tiffany Liles reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hospice and Palliative Medicine
3170 EXECUTIVE WAY
Miramar, FL 33025
  • Reassigned Medicare billing, Florida enrollment
  • 119 clinicians in this Medicare group
Geriatric Medicine
390 NE 191ST ST STE 8885
Miami, FL 33179
  • Reassigned Medicare billing, District of Columbia, Florida and Rhode Island enrollments
  • Medicare enrollment name: Kible Health PA
  • 3 clinicians in this Medicare group
Geriatric Medicine
230 CHERRY ST
Chillicothe, OH 45601
  • Reassigned Medicare billing, District of Columbia and Florida enrollments
  • 13 clinicians in this Medicare group
Geriatric Medicine
221 RIVER ST STE 9
Hoboken, NJ 07030
  • Reassigned Medicare billing, Florida enrollment
  • 25 clinicians in this Medicare group

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 32256 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
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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 8

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

Home Health
10151 DEERWOOD PARK BLVD, BUILDING 200, SUITE 250
JACKSONVILLE, FL 32256
Home Health
10151 DEERWOOD PARK BLVD, BLDG 200 STE 250
JACKSONVILLE, FL 32256
Nurse Practitioner (Gerontology)
10151 DEERWOOD PARK BLVD, 200-250
JACKSONVILLE, FL 32256
Nurse Practitioner (Family)
10151 DEERWOOD PARK BLVD
JACKSONVILLE, FL 32256
Home Health
10151 DEERWOOD PARK BLVD, BUILDING E SUITE 250
JACKSONVILLE, FL 32256
Social Worker (Clinical)
10151 DEERWOOD PARK BLVD, 200-250
JACKSONVILLE, FL 32256
Durable Medical Equipment & Medical Supplies
10151 DEERWOOD PARK BLVD, BUILDING 400, SUITE 100
JACKSONVILLE, FL 32256
Social Worker (Clinical)
10151 DEERWOOD PARK BLVD, 200-250
JACKSONVILLE, FL 32256

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 Liles's NPI number?

The NPI number for Tiffany Liles is 1922480599. It was assigned to this individual provider in the NPPES registry on June 19, 2015.

Where is Tiffany Liles located?

Tiffany Liles practices at 10151 Deerwood Park Blvd, Jacksonville, FL 32256. The listed phone number is (904) 252-6284.

What is Tiffany Liles's specialty?

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

Is Tiffany Liles enrolled in Medicare?

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

Which organizations bill Medicare for Tiffany Liles's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tiffany Liles reassigns Medicare benefits to 4 organizations: Vitas Solutions Inc (Miramar, FL), Kible Health, P.A. (Miami, FL), Tapestry Telehealth PLLC (Chillicothe, OH) and Topaz Bay Senior Health PC (Hoboken, NJ). 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 Liles'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 Liles was last updated on May 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.