TIFFANY SUMMERILL – Case Management Registered Nurse, NPI 1255958039

TIFFANY SUMMERILL is a healthcare provider. based in Wilmington, Delaware. specializing in NURSE PRACTITIONER. They hold a License No. SP027166 (PA). The NPI Number for TIFFANY SUMMERILL is 1255958039

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
TIFFANY SUMMERILL
NPI
1255958039
Phone
(302) 293-8581
Address
509 N WALNUT ST
Enumeration Date
29 June 2020
Last Update Date
7 June 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8889828594
Graduation Year
2021 (5 years ago)
PAC ID
4486010949
Group Practice PAC ID
6608156906
Professional Enrollment ID
I20230525002283
Address ID
PA181069283AL410XXRDXX400

Contacts

Secure Messaging
tsum551@regiscollege.edu
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness85
Years active:5State licenses:1Other namesUpdated within 12 months

1,274 NURSE PRACTITIONER in DE

Provider Addresses for TIFFANY SUMMERILL

  • 509 N WALNUT ST

    WILMINGTON, DE 198042667

    Phone: (302) 293-8581

    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 2 Open Payments records for all available years, with a total value of $46.

Total Amount is formed as General ($46) + Research ($0) + Ownership ($0) = $46.

Last reported payment date: 2023-09-25 • Largest payer in this snapshot: Indivior Inc. ($26).

Total Amount

$46

General + Research + Ownership

Payments

2

Total payment records

General Amount

$46

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-25

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Indivior Inc.$26
Alkermes, Inc.$20
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: 2024-06-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20230525002283INurse PractitionerPATBD
I20240111002599INurse PractitionerDETBD
I20240625001255INurse PractitionerNJTBD

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 19804)

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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: 6608156906View full group profile
NameSpecialtyState
P S Y C H I A T R YNM
Physician AssistantPA
Physician AssistantNJ
Nurse PractitionerSC
Physician AssistantNY
Nurse PractitionerNJ
Physician AssistantPA
-NJ
Physician AssistantPA
Nurse PractitionerPA

Reviews

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Frequently asked questions

Can I cross-check TIFFANY SUMMERILL using NPI 1255958039?
NPI 1255958039 belongs to TIFFANY SUMMERILL; compare other details if you need extra assurance.
Is TIFFANY SUMMERILL still an active registrant?
TIFFANY SUMMERILL carries an active NPI according to the public dataset.
What expertise is attributed to TIFFANY SUMMERILL?
TIFFANY SUMMERILL's specialty line reads Case Management Registered Nurse. Clinical services aligned with this taxonomy classification.
Is TIFFANY SUMMERILL located near Wilmington?
TIFFANY SUMMERILL currently maps to Wilmington, Delaware in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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