Individual provider Active NPI

Tiffany L Nixon

  • Family Nurse Practitioner
  • Dunkirk, IN
National Provider Identifier
1447888474
Registry record updated May 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71010020A Issued in IN
Practice address
1150 S Main St
Dunkirk, IN 47336-9701
Phone
(765) 768-6065
NPI assigned
Mar 27, 2020
Last updated
May 5, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2020

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 71010020A IN Primary

Addresses

Primary practice location

1150 S Main St
Dunkirk, IN 47336-9701

Mailing address

240 N Tillotson Ave
Muncie, IN 47304-3988
Phone (765) 288-1928

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20200723002824 IN Practitioner - Nurse Practitioner 6103240023 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meridian Health Services CorpGroup PAC ID 5597679845, 78 clinicians

Practice addresses (Care Compare)

1150 S Main St
Dunkirk, IN 47336-9701
Phone (765) 768-6065

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Meridian Health Services Corp. CurrentSince Aug 17, 2020 Accepting new patients
Meridian Health Services Corp CurrentSince Aug 17, 2020 Accepting new patients
Meridian Health Services Corp Past Accepting new patients
Meridian Health Services Corp Past Accepting new patients
Meridian Health Services Corp Past Accepting new patients

Locations

1150 S Main St
Dunkirk, IN 47336
Phone (765) 768-3188

205 N Tillotson Ave
Muncie, IN 47304
Phone (765) 288-1995

240 N Tillotson Ave
Muncie, IN 47304

500 W Votaw St
Ste A
Portland, IN 47371
Phone (260) 726-2313

Interoperability endpoints

  • Direct secure messaging: tiffany.nixon.p1@direct.meridianhs.nextgenshare.com

Organizations & group practices 5

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 4

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": "1585267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588636800000",
    "number": "1447888474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 N TILLOTSON AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473043988",
            "telephone_number": "765-288-1928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 S MAIN ST",
            "city": "DUNKIRK",
            "state": "IN",
            "postal_code": "473369701",
            "telephone_number": "765-768-6065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIXON",
        "first_name": "TIFFANY",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-27",
        "last_updated": "2020-05-05",
        "certification_date": "2020-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71010020A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunkirk, IN

Sources for this page

Verify at the official NPI Registry.