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MRS. TIFFANY WALLACE DNP
NPI 1942804612
Nurse Practitioner in Greensboro, NC

Active since November 24, 2020PECOS EnrolledAccepts Medicare Assignment
719 GREEN VALLEY RD, GREENSBORO, NC 27408(336) 275-5391(336) 275-4702 Get Directions Write a Review

NPPES record last updated: August 19, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 19, 2021, Nov 24, 2020 (2 updates tracked since 2020).

About Mrs. Tiffany Wallace Dnp NPPES

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

MRS. TIFFANY WALLACE DNP (NPI 1942804612) is an individual nurse practitioner in Greensboro, North Carolina, licensed in North Carolina (5013821) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS, is affiliated with Moses H. Cone Memorial Hospital, The, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1942804612
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. TIFFANY WALLACECredential: DNP
Location Address719 GREEN VALLEY RDGreensboro, NC 27408-7014
Mailing Address8552 Dalton Ridge RdKernersville, NC 27284-7276 · (336) 302-6180
Phone(336) 275-5391
Fax(336) 275-4702
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateNovember 24, 2020
Last NPPES UpdateAugust 19, 20212 updates tracked since enumeration
NPPES CertifiedAugust 19, 2021
✔ NPI 1942804612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NC · 5013821
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
719 GREEN VALLEY RD, Greensboro, NC 27408
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc, UnitedHealthcare.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

Mrs. Tiffany Wallace Dnp 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 ID8729494562
PECOS Enrollment IDI20210303000567
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.

Hospital Affiliations CMS Care Compare

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

Moses H. Cone Memorial Hospital, The

Acute Care Hospitals · Greensboro, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340091
Location1200 N Elm StGreensboro, NC 27401 · Guilford County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27408 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

INFOCUS EYEWEAR
Clinic/Center
719 GREEN VALLEY RD, STE 303 B
GREENSBORO, NC 27408
Guilford County (336) 235-2577
DR. JUAN H FERNANDEZ M.D.
Specialist
719 GREEN VALLEY RD, SUITE 305
GREENSBORO, NC 27408
Guilford County (336) 275-5391
SIDNEY CALLAHAN D.O.
Obstetrics & Gynecology
719 GREEN VALLEY RD, #201
GREENSBORO, NC 27408
Guilford County (336) 378-1110
DR. WILLIAM EUGENE HUTTON M.D.
Specialist
719 GREEN VALLEY RD, SUITE 105
GREENSBORO, NC 27408
Guilford County (336) 230-1010
GUILFORD GYNECOLOGY & OBSTETRICS
Obstetrics & Gynecology
719 GREEN VALLEY RD, SUITE 101
GREENSBORO, NC 27408
Guilford County (336) 275-2735
BOBI A CRUMP CPNP
Nurse Practitioner (Pediatrics)
719 GREEN VALLEY RD, STE 306
GREENSBORO, NC 27408
Guilford County (336) 275-6470
PIEDMONT PEDIATRICS
Pediatrics
719 GREEN VALLEY RD, SUITE 209
GREENSBORO, NC 27408
Guilford County (336) 272-9447
DR. DYANNA GEFFEL CLARK M.D.
Obstetrics & Gynecology
719 GREEN VALLEY RD, SUITE 201
GREENSBORO, NC 27408
Guilford County (336) 378-1110

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 Wallace's NPI number?

The NPI number for Tiffany Wallace is 1942804612. It was assigned to this individual provider in the NPPES registry on November 24, 2020.

Where is Tiffany Wallace located?

Tiffany Wallace practices at 719 Green Valley Rd, Greensboro, NC 27408. The listed phone number is (336) 275-5391.

What is Tiffany Wallace's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Tiffany Wallace enrolled in Medicare?

Yes. Tiffany Wallace 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 Wallace accept?

Health plans from Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Tiffany Wallace 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 Tiffany Wallace affiliated with any hospitals?

According to CMS data, Tiffany Wallace is affiliated with Moses H. Cone Memorial Hospital, The.

When was this NPI record last updated?

The NPPES record for Tiffany Wallace was last updated on August 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.