Tiffany Lynn Brown, PA-C
Individual provider Active NPI Physician Assistant · Puyallup, WA
NPI 1922473388 · NPPES record last updated Dec 18, 2024
Key facts
- NPI
- 1922473388
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA60740912 (WA)
- Practice address
- 413 29TH St NE Ste I
Puyallup, WA 98372-7154 - Phone
- (855) 255-1750
- Fax
- (855) 255-0905
- NPI assigned
- Dec 9, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- United Wound Healing PS
Practice addresses (Care Compare)
Lake Oswego, OR 97035
Phone (855) 255-1750
920 12TH Ave SE
Puyallup, WA 98372-4920
Phone (855) 255-1750
Hospital & facility affiliations
- Providence St Mary Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.87 of 100
- Quality
- 77.29
- Promoting interoperability
- 97
- Improvement activities
- 40
- Cost
- 74.78
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in ID, WA, OR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160210002201 | ID | Practitioner - Physician Assistant | 4789988890 | Reassigns benefits to 1 organization |
| I20250115003714 | WA | Practitioner - Physician Assistant | 4789988890 | Reassigns benefits to 1 organization |
| I20250305002922 | OR | Practitioner - Physician Assistant | 4789988890 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Wound Healing Accountable Care Consultants PLLC | Family Medicine | Current |
Accepting new patients |
| Crossroads Physicians Corp | Family Medicine | Past | Accepting new patients |
Locations
500 S 8th St
Boise, ID 83702
5200 Meadows Rd
Ste 200
Lake Oswego, OR 97035
Phone (503) 345-3260
413 29th St NE
Ste I
Puyallup, WA 98372
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA60740912 | WA | Yes |
| Medical Physician Assistant | 363AM0700X | PA-1329 | ID |
Addresses
Primary practice location
413 29TH St NE Ste I
Puyallup, WA 98372-7154
Mailing address
PO Box 24081
Seattle, WA 98124-0081
Phone (855) 255-1750
Other practice location 1
1474 N Meridian Rd
Kuna, ID 83634-2041
Phone (208) 809-2885
Other practice location 2
500 S 8th St
Boise, ID 83702-7107
Phone (855) 255-1750
Other providers in Puyallup, WA
- Nyna Marie Brown
- Rachel Diann Brown
- Rachel Noelle Brown
- Roxanne Dirks Brown
- Stephanie Danielle Brown
- Heather Renee Brozka
- Karl D Brubaker
- Lisa M Bruce
- Molly Bruggeman
- Patrice Cherie Bruner
All providers in Puyallup, WA · Physician Assistant in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 18, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.