Individual provider Active NPI

Tiffany Pickrell

  • Family Nurse Practitioner
  • Maysville, KY
National Provider Identifier
1154087773
Registry record updated Apr 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3016994 Issued in KY
Practice address
991 Medical Park Dr Ste 300
Maysville, KY 41056-8765
Phone
(606) 302-9484
Fax
(833) 699-2173
NPI assigned
Nov 9, 2021
Last updated
Apr 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3016994 KY Primary

Addresses

Primary practice location

991 Medical Park Dr Ste 300
Maysville, KY 41056-8765

Mailing address

991 Medical Park Dr Ste 300
Maysville, KY 41056-8765
Phone (606) 302-9484

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220209000875 KY Practitioner - Nurse Practitioner 5496148769 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

991 Medical Dr
Suite 207
Maysville, KY 41056-8728
Phone (606) 759-4852

991 Medical Park Dr
Maysville, KY 41056-8728

991 Medical Park Dr
Suite 300
Maysville, KY 41056-8765
Phone (606) 759-6606

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
3016994KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Meadowview Physician Practice LLC CurrentSince Jan 1, 2022 Accepting new patients
Meadowview Physician Practice, LLC Current Accepting new patients
Meadowview Physician Practice LLC CurrentSince Jan 1, 2022 Accepting new patients
Meadowview Physician Practice LLC Past Accepting new patients

Locations

932 Elizaville Ave
Flemingsburg, KY 41041
Phone (606) 759-4852

1115 Progress Way
Maysville, KY 41056
Phone (606) 759-4442

991 Medical Park Dr
Ste 201
Maysville, KY 41056
Phone (606) 759-3585

991 Medical Park Dr
Ste 202
Maysville, KY 41056
Phone (606) 759-5424

991 Medical Park Dr
Ste 300
Maysville, KY 41056
Phone (606) 759-6606

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19475/brand/10/csg/41/fhir/r4
  • Direct secure messaging: tiffany.pickrell.1@19475.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1636416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1154087773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "991 MEDICAL PARK DR STE 300",
            "city": "MAYSVILLE",
            "state": "KY",
            "postal_code": "410568765",
            "telephone_number": "606-302-9484",
            "fax_number": "833-699-2173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "991 MEDICAL PARK DR STE 300",
            "city": "MAYSVILLE",
            "state": "KY",
            "postal_code": "410568765",
            "telephone_number": "606-302-9484",
            "fax_number": "833-699-2173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICKRELL",
        "first_name": "TIFFANY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-09",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3016994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maysville, KY

Sources for this page

Verify at the official NPI Registry.