MRS. TIFFANY WALLACE DNP
NPI 1942804612
Nurse Practitioner in Greensboro, NC
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
Specialties & Licenses
Accepted 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. 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.
Medicare Billing Reassignment
Medicare enrollment records show Tiffany Wallace reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Greensboro, NC 27408
- Reassigned Medicare billing, North Carolina enrollment
- 80 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.
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, NCPhysician 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.
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.
GREENSBORO, NC 27408
GREENSBORO, NC 27408
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.
Which organization bills Medicare for Tiffany Wallace's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tiffany Wallace reassigns Medicare benefits to Moses Cone Affiliated Physicians, Inc (Greensboro, NC). The 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 Wallace's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tiffany Wallace accept?
Health plans from Cigna Healthcare, 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.
# Mrs. Tiffany Wallace, DNP · NPI 1942804612
Nurse Practitioner physician in Greensboro, North Carolina. Individual provider, active in the CMS NPPES registry since November 24, 2020.
## Identity
- **NPI:** 1942804612 (Entity type: Individual)
- **Enumerated:** November 24, 2020
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 5013821 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 719 GREEN VALLEY RD, Greensboro, NC 27408-7014
- **Phone:** (336) 275-5391 · **Fax:** (336) 275-4702
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Moses Cone Affiliated Physicians, Inc (NPI 1346474103, Greensboro, NC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** August 19, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1942804612) · Data from the CMS NPPES public registry.