TIFFANY SARTIN COLDIRON APRN
NPI 1952936882
Nurse Practitioner in Louisa, KY

Active since March 11, 2020PECOS EnrolledAccepts Medicare Assignment
125 S MAIN CROSS ST, LOUISA, KY 41230(606) 638-0938 Get Directions Write a Review

NPPES record last updated: March 19, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Tiffany Sartin Coldiron Aprn NPPES

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

TIFFANY SARTIN COLDIRON APRN (NPI 1952936882) is an individual nurse practitioner in Louisa, Kentucky, licensed in Kentucky (3014318) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1952936882
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameTIFFANY SARTIN COLDIRONCredential: APRN
Location Address125 S MAIN CROSS STLouisa, KY 41230-1065
Mailing Address125 S Main Cross StLouisa, KY 41230-1065 · (606) 638-0938
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 11, 2020
Last NPPES UpdateMarch 19, 2024
NPPES CertifiedMarch 19, 2024
✔ NPI 1952936882 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 KY · 3014318
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.
125 S MAIN CROSS ST, Louisa, KY 41230

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

Tiffany Sartin Coldiron Aprn 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 ID4183036585
PECOS Enrollment IDI20201208002818, I20250314001616, I20250429002228, I20250513002280, I20250527001622
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

6

Medicare enrollment records show Tiffany Coldiron reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rural Health
129 STONE TRACE DR
Mt Sterling, KY 40353
  • Reassigned Medicare billing, Kentucky enrollment
  • 88 clinicians in this Medicare group
Addiction Medicine
106 BELINDA BLVD STE 100
Danville, KY 40422
  • Reassigned Medicare billing, Kentucky enrollment
  • 115 clinicians in this Medicare group
Rehabilitation, Substance Use Disorder
833 JAMES ST
Zanesville, OH 43701
  • Reassigned Medicare billing, Ohio enrollment
  • 41 clinicians in this Medicare group
Addiction Medicine
314 FAIRY STREET EXT
Martinsville, VA 24112
  • Reassigned Medicare billing, Virginia enrollment
  • 37 clinicians in this Medicare group
Addiction Medicine
7750 MADISON AVE
Indianapolis, IN 46227
  • Reassigned Medicare billing, Indiana enrollment
  • 21 clinicians in this Medicare group
Rehabilitation, Substance Use Disorder
301 WOLVERINE TRL
Smyrna, TN 37167
  • Reassigned Medicare billing, Tennessee enrollment
  • 46 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 41230 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

Case Manager/Care Coordinator
125 S MAIN CROSS ST
LOUISA, KY 41230
Counselor (Professional)
125 S MAIN CROSS ST
LOUISA, KY 41230
Counselor (Addiction (Substance Use Disorder))
125 S MAIN CROSS ST
LOUISA, KY 41230
Registered Nurse (Addiction (Substance Use Disorder))
125 S MAIN CROSS ST
LOUISA, KY 41230
Peer Specialist
125 S MAIN CROSS ST
LOUISA, KY 41230
Peer Specialist
125 S MAIN CROSS ST
LOUISA, KY 41230
Case Manager/Care Coordinator
125 S MAIN CROSS ST
LOUISA, KY 41230
Peer Specialist
125 S MAIN CROSS ST
LOUISA, KY 41230

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 Coldiron's NPI number?

The NPI number for Tiffany Coldiron is 1952936882. It was assigned to this individual provider in the NPPES registry on March 11, 2020.

Where is Tiffany Coldiron located?

Tiffany Coldiron practices at 125 S Main Cross St, Louisa, KY 41230. The listed phone number is (606) 638-0938.

What is Tiffany Coldiron's specialty?

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

Is Tiffany Coldiron enrolled in Medicare?

Yes. Tiffany Coldiron 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 organizations bill Medicare for Tiffany Coldiron's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tiffany Coldiron reassigns Medicare benefits to 6 organizations: Clark Regional Physician Practices LLC (Mt Sterling, KY), Spero Health Of Kentucky, LLC (Danville, KY), Spero Health Of Ohio, LLC (Zanesville, OH), Spero Health Of Virginia, LLC (Martinsville, VA), Spero Health Of Indiana, LLC (Indianapolis, IN) and 1 more organization, listed in the Medicare section above. 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 Coldiron's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tiffany Coldiron accept?

Health plans from Anthem Blue Cross and Blue Shield, BlueCross BlueShield of Tennessee, CareSource, Oscar Health and Oscar Health Insurance and 2 other insurers list Tiffany Coldiron 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 Coldiron was last updated on March 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.