MRS. TIFFANY E CUMMINGS APRN
NPI 1972842847
Nurse Practitioner in Warren, PA

Q: What is Tiffany Cummings's NPI number?

The NPI number for Tiffany Cummings is 1972842847. It was assigned to this individual provider in the NPPES registry on February 12, 2013. The provider is also known as Ms. Tiffany E Lyon.

Q: What is Tiffany Cummings's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Tiffany Cummings was last updated on May 11, 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.

Active since February 12, 2013PECOS EnrolledAccepts Medicare Assignment

2 W CRESCENT PARK, WARREN, PA 16365(814) 723-3300 Get Directions Write a Review

NPPES record last updated: May 11, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 11, 2020, Aug 30, 2018 (2 updates tracked since 2018).

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About Mrs. Tiffany E Cummings Aprn NPPES

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

MRS. TIFFANY E CUMMINGS APRN (NPI 1972842847) is an individual nurse practitioner in Warren, Pennsylvania, licensed in Pennsylvania (SP016294) and active in the NPI registry since February 2013. She is enrolled in Medicare PECOS, is affiliated with Saint Vincent Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1972842847

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMRS. TIFFANY E CUMMINGSCredential: APRN

Location Address2 W CRESCENT PARKWarren, PA 16365-2111

Mailing Address2 W Crescent ParkWarren, PA 16365-2111 · (814) 723-3300

Phone(814) 723-3300

Sole ProprietorYes

Medical School CMSOtherGraduated 2014

Enumeration DateFebruary 12, 2013

Last NPPES UpdateMay 11, 20202 updates tracked since enumeration

NPPES CertifiedMay 11, 2020

✔ NPI 1972842847 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Licenses✔ Licensed in PA · SP016294✔ Licensed in SC · APRN18148

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.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 18148 (SC)

2 W CRESCENT PARK, Warren, PA 16365

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Other Names 1

Former Name (1)Ms. Tiffany E Lyon

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 E Cummings 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 ID4486888138

PECOS Enrollment IDI20160928000310

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

Medicare enrollment records show Tiffany Cummings reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Warren General Hospital

1.8 mi

Family Medicine

2 CRESCENT PARK W
Warren, PA 16365

Reassigned Medicare billing, Pennsylvania enrollment
40 clinicians in this Medicare group

NPI 1508803701 (814) 723-3300

Regional Health Services Inc

52 mi

Family Medicine

201 STATE ST
Erie, PA 16550

Reassigned Medicare billing, Pennsylvania enrollment
962 clinicians in this Medicare group

NPI 1174520654 (814) 877-8140

Ahn Hospitalist Group, Ltd

90 mi

Internal Medicine

1301 CARLISLE ST
Natrona Heights, PA 15065

Reassigned Medicare billing, Pennsylvania enrollment
100 clinicians in this Medicare group

NPI 1770984304 (724) 224-5100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

107 services99 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

61 services29 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

56 services24 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

47 services34 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

32 services32 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

29 services24 patients

Hospital Affiliations CMS Care Compare 3

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

Saint Vincent Hospital

Acute Care Hospitals · Erie, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390009

Location232 West 25th StreetErie, PA 16544 · Erie County

Emergency services Birthing friendly

Warren General Hospital

Acute Care Hospitals · Warren, PA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390146

LocationTwo Crescent Park WestWarren, PA 16365 · Warren County

Emergency services Birthing friendly

Lecom Health Corry Memorial Hospital

Critical Access Hospitals · Corry, PA

OwnershipGovernment - Hospital District or Authority

CMS Certification Number391308

Location965 Shamrock LaneCorry, PA 16407 · Erie County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16365 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers34 claims34 services$21.76 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

3 suppliers91 claims91 services$117.50 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

1 supplier11 claims12 services$185.34 avg. paid by Medicare

Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738

DME-Oxygen and Supplies · category DC000N

1 supplier15 claims15 services$35.69 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

JAMIE CUMMINGS PHARMD

Pharmacist