Tiffany Deshelia Tyson, DNP, FNP-C, PMHNP-BC - Medicare Nurse Practitioner in Raleigh, NC

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Tiffany Deshelia Tyson, DNP, FNP-C, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Raleigh, North Carolina. She graduated from nursing school in 2008 and has 16 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Minuteclinic Diagnostic Of North Carolina Pc and her current practice location is 2340 Spring Forest Rd, Raleigh, North Carolina. You can reach out to her office (for appointments etc.) via phone at (866) 389-2727.

Tiffany Deshelia Tyson is licensed to practice in North Carolina (license number 5004707) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1497071153.

Contact Information

Tiffany Deshelia Tyson, DNP, FNP-C, PMHNP-BC
2340 Spring Forest Rd,
Raleigh, NC 27615-7528
(866) 389-2727
(401) 216-3854

Map and Direction




Provider's Profile

Full NameTiffany Deshelia Tyson
GenderFemale
SpecialityNurse Practitioner
Experience16 Years
Location2340 Spring Forest Rd, Raleigh, North Carolina
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Tiffany Deshelia Tyson graduated from nursing school in 2008
  NPI Data:
  • NPI Number: 1497071153
  • Provider Enumeration Date: 04/20/2010
  • Last Update Date: 04/14/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 3173652997
  • Enrollment ID: I20100603000321

Medical Identifiers

Medical identifiers for Tiffany Deshelia Tyson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1497071153NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 179114 (North Carolina)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 5004707 (North Carolina)Secondary
363LF0000XNurse Practitioner - Family 5004707 (North Carolina)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Minuteclinic Diagnostic Of North Carolina Pc6002837572173

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Tiffany Deshelia Tyson allows following entities to bill medicare on her behalf.
Entity NameOpportunities Industrialization Center, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922020908
PECOS PAC ID: 3173563590
Enrollment ID: O20050505000237
Entity NameMinuteclinic Diagnostic Of North Carolina Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699748608
PECOS PAC ID: 6002837572
Enrollment ID: O20051212000719
Entity NameOpportunities Industrialization Center, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528478237
PECOS PAC ID: 3173563590
Enrollment ID: O20140921000016
Entity NameOpportunities Industrialization Center, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396103305
PECOS PAC ID: 3173563590
Enrollment ID: O20161104000262
Entity NameOpportunities Industrialization Center, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750734307
PECOS PAC ID: 3173563590
Enrollment ID: O20170629002020
Entity NameOpportunities Industrialization Center, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639661796
PECOS PAC ID: 3173563590
Enrollment ID: O20190221001213

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tiffany Deshelia Tyson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Tiffany Deshelia Tyson, DNP, FNP-C, PMHNP-BC
Po Box 2723,
Rocky Mount, NC 27802-2723

Ph: (252) 210-9865		Tiffany Deshelia Tyson, DNP, FNP-C, PMHNP-BC
2340 Spring Forest Rd,
Raleigh, NC 27615-7528

Ph: (866) 389-2727

Reviews and Comments


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Mrs. Cassady T Turregano, FNP
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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.