Active NPI
Tiffany Falcon, FNP-C APRN
- Nurse Practitioner
- Kissimmee, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 11014595
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11014595 | Other | FL | FLORIDA BOARD OF NURSING APRN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 PL
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11014595 | FL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pioneer Medical Group, PL | Nurse Practitioner | Current | 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.
-
- Internal Medicine Physician
- Temple Terrace, FL
- NPI 1710315775
FL, Nurse Practitioner
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1306938071
Hospital
-
- Clinical Medical Laboratory
- Orlando, FL
- NPI 1801569728
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.