Individual provider Active NPI

Tiffany Falcon, FNP-C APRN

  • Nurse Practitioner
  • Kissimmee, FL
National Provider Identifier
1407529928
Registry record updated Jul 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11014595 Issued in FL
Practice address
2450 N Orange Blossom TRL
Kissimmee, FL 34744-2316
Phone
(407) 846-4343
NPI assigned
Jul 29, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 11014595 FL Primary

Addresses

Primary practice location

2450 N Orange Blossom TRL
Kissimmee, FL 34744-2316

Mailing address

3404 Middlebrook PL
Harmony, FL 34773-6056
Phone (407) 818-6632

Other identifiers 1

IdentifierTypeStateIssuer
11014595OtherFLFLORIDA BOARD OF NURSING APRN

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Cerner Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20220217000693 FL Practitioner - Nurse Practitioner 3971996828 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
Pioneer Medical Group PLGroup PAC ID 8224266655, 68 clinicians

Practice addresses (Care Compare)

38220 Henry Dr
Zephyrhills, FL 33542-7535
Phone (813) 779-6303

38250 A Ave
Zephyrhills, FL 33542-5759
Phone (813) 779-6303

Hospital & facility affiliations

  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11014595FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pioneer Medical Group, PL Nurse Practitioner CurrentSince Nov 13, 2021 Accepting new patients

Locations

2450 N Orange Blossom Trl
Kissimmee, FL 34744
Phone (407) 846-4343

38250 A Ave
Zephyrhills, FL 33542
Phone (813) 732-5608

Organizations & group practices 1

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

Hospital & facility affiliations 2

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": "1627516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627516800000",
    "number": "1407529928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3404 MIDDLEBROOK PL",
            "city": "HARMONY",
            "state": "FL",
            "postal_code": "347736056",
            "telephone_number": "407-818-6632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 N ORANGE BLOSSOM TRL",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347442316",
            "telephone_number": "407-846-4343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALCON",
        "first_name": "TIFFANY",
        "credential": "FNP-C APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-29",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11014595",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BOARD OF NURSING APRN",
            "identifier": "11014595",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Cerner",
            "affiliation": "N",
            "endpointDescription": "I extend, cerner, athena",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2450 N Orange Blossom Trl",
            "city": "Kissimmee",
            "state": "FL",
            "country_code": "US",
            "postal_code": "347442316",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.