TIFFANY CRYSTLE CARAGAN (NURSE PRACTITIONER) – Family Nurse Practitioner, NPI 1144597543

TIFFANY CRYSTLE CARAGAN (NURSE PRACTITIONER) is a healthcare provider. based in Fountain valley, California. specializing in NURSE PRACTITIONER. They hold the professional credentials NURSE PRACTITIONER. They hold a License No. NP20957 (CA). The NPI Number for TIFFANY CRYSTLE CARAGAN (NURSE PRACTITIONER) is 1144597543

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
TIFFANY CRYSTLE CARAGAN (NURSE PRACTITIONER)
NPI
1144597543
Phone
(714) 698-0300
Address
18111 BROOKHURST ST
Enumeration Date
29 November 2011
Last Update Date
14 January 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7146980300
Graduation Year
2011 (15 years ago)
PAC ID
2365743010
Group Practice PAC ID
6608819594
Professional Enrollment ID
I20151222001333
Address ID
CA927087516FO11180AVEX309
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

16,360 NURSE PRACTITIONER in CA

Provider Addresses for TIFFANY CRYSTLE CARAGAN (NURSE PRACTITIONER)

  • 18111 BROOKHURST ST

    SUITE 6100

    FOUNTAIN VALLEY, CA 927086728

    Phone: (714) 698-0300

    Fax: (714) 698-0303

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 558 Open Payments records for all available years, with a total value of $12,178.

Total Amount is formed as General ($12,178) + Research ($0) + Ownership ($0) = $12,178.

Last reported payment date: 2024-12-26 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($928).

Total Amount

$12,178

General + Research + Ownership

Payments

558

Total payment records

General Amount

$12,178

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-26

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-12-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20151222001333INurse PractitionerCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 92708)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6608819594View full group profile
NameSpecialtyState
Gynecological OncologyCA
Medical OncologyCA
Hematology/Oncology, Internal MedicineCA
Hematology/Oncology, Internal MedicineCA
H E M A T O L O G Y/ O N C O L O G YCA
Gynecological OncologyPA
Gynecological Oncology, Obstetrics/GynecologyCA
Internal MedicineCA
H E M A T O L O G Y/ O N C O L O G YCA
H E M A T O L O G Y/ O N C O L O G YCA

Reviews

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Frequently asked questions

What federal number belongs to TIFFANY CRYSTLE CARAGAN (NURSE PRACTITIONER)?
The federal identifier for TIFFANY CRYSTLE CARAGAN (NURSE PRACTITIONER) is NPI 1144597543.
Is TIFFANY CRYSTLE CARAGAN (NURSE PRACTITIONER)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does TIFFANY CRYSTLE CARAGAN (NURSE PRACTITIONER) work in?
You can think of TIFFANY CRYSTLE CARAGAN (NURSE PRACTITIONER) as practicing within Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does TIFFANY CRYSTLE CARAGAN (NURSE PRACTITIONER) practice in California?
You will see Fountain Valley, California on file for TIFFANY CRYSTLE CARAGAN (NURSE PRACTITIONER) alongside any extra practice locations.
Is TIFFANY CRYSTLE CARAGAN (NURSE PRACTITIONER) a real provider?
This page reflects official NPPES data for NPI 1144597543. Always confirm identity and privileges with the practice and licensing boards.

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