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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: August 09, 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, maintains a secondary practice location in Jacksonville, and is a graduate of Other (2015).

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
Phone(904) 252-6284
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
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
Open in Google Maps ↗

Secondary Practice Location 1

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tiffany Liles Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7911212493
PECOS Enrollment IDI20250814004837
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 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.

BPM SERVICES OF JACKSONVILLE
Home Health
10151 DEERWOOD PARK BLVD, BUILDING 200, SUITE 250
JACKSONVILLE, FL 32256
Duval County (904) 642-4700
GENTLE HEARTS CARE
Home Health
10151 DEERWOOD PARK BLVD, BLDG 200 STE 250
JACKSONVILLE, FL 32256
Duval County (904) 371-3088
MD2U FLORIDA LLC
Nurse Practitioner (Gerontology)
10151 DEERWOOD PARK BLVD, 200-250
JACKSONVILLE, FL 32256
Duval County (502) 327-9100
GENTLE HEARTS CARE
Home Health
10151 DEERWOOD PARK BLVD, BUILDING E SUITE 250
JACKSONVILLE, FL 32256
Duval County (904) 371-3088
A SAFE PLACE BEHAVIORAL HEALTH
Social Worker (Clinical)
10151 DEERWOOD PARK BLVD, 200-250
JACKSONVILLE, FL 32256
Duval County (904) 479-6494
NEUROTECH NA, INC.
Durable Medical Equipment & Medical Supplies
10151 DEERWOOD PARK BLVD, BUILDING 400, SUITE 100
JACKSONVILLE, FL 32256
Duval County (888) 980-1197
CHRISTINA FERGUSON
Speech-Language Pathologist
10151 DEERWOOD PARK BLVD
JACKSONVILLE, FL 32256
Duval County (904) 360-2656
MRS. KIMBERLY ANDRE LCSW
Social Worker (Clinical)
10151 DEERWOOD PARK BLVD, 200-250
JACKSONVILLE, FL 32256
Duval County (904) 479-6494

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.

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.