TIFFANY SAMANTHA CHARLTON (APRN) – Gerontology Nurse Practitioner, NPI 1063175560

TIFFANY SAMANTHA CHARLTON (APRN) is a healthcare provider. based in Doral, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. APRN11012901 (FL). The NPI Number for TIFFANY SAMANTHA CHARLTON (APRN) is 1063175560

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
TIFFANY SAMANTHA CHARLTON (APRN)
NPI
1063175560
Phone
(786) 466-1000
Address
2801 NW 79TH AVE
Enumeration Date
21 October 2021
Last Update Date
19 November 2021

Doctor Profile

Medical School Name
UNIVERSITY OF MIAMI, LM MILLER SCHOOL OF MEDICINE
Secondary Phone
3056898648
Graduation Year
2020 (6 years ago)
PAC ID
2466846951
Group Practice PAC ID
3274795109
Professional Enrollment ID
I20220226000024
Address ID
FL331361002MI1475XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for TIFFANY SAMANTHA CHARLTON (APRN)

  • 2801 NW 79TH AVE

    DORAL, FL 331221174

    Phone: (786) 466-1000

    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 1 Open Payments records for all available years, with a total value of $15.

Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.

Last reported payment date: 2023-09-20 • Largest payer in this snapshot: Boston Scientific Corporation ($15).

Total Amount

$15

General + Research + Ownership

Payments

1

Total payment records

General Amount

$15

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-20

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: 2022-02-26

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
I20220226000024INurse PractitionerFLTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99291Critical care, first 30-74 minutes5738$0
99292Critical care, each additional 30 minutes2411$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes1915$0
View full utilization report →

Insurance plans in this area (ZIP 33122)

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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: 3274795109View full group profile

Reviews

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Frequently asked questions

What is the standard ID for TIFFANY SAMANTHA CHARLTON (APRN) in the U.S.?
In the U.S., TIFFANY SAMANTHA CHARLTON (APRN) is identified by NPI 1063175560.
Quick check: is TIFFANY SAMANTHA CHARLTON (APRN) active?
Public NPPES data shows TIFFANY SAMANTHA CHARLTON (APRN) with an active NPI status right now.
What does the directory say TIFFANY SAMANTHA CHARLTON (APRN) does?
Insurance directories may phrase it differently, but here TIFFANY SAMANTHA CHARLTON (APRN) maps to Gerontology Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Can patients visit TIFFANY SAMANTHA CHARLTON (APRN) in Doral, Florida?
For routing, start with Doral, Florida for TIFFANY SAMANTHA CHARLTON (APRN), then verify phone and hours locally.
Why is information missing for TIFFANY SAMANTHA CHARLTON (APRN)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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