TIFFANY YOLANDA SHIRLEY – Family Nurse Practitioner, NPI 1114628849

TIFFANY YOLANDA SHIRLEY is a healthcare provider. based in Palmetto, Florida. specializing in NURSE PRACTITIONER. They hold a License No. 11024762 (FL). The NPI Number for TIFFANY YOLANDA SHIRLEY is 1114628849

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
TIFFANY YOLANDA SHIRLEY
NPI
1114628849
Phone
(941) 545-7869
Address
3439 68th Street Cir E
Enumeration Date
10 March 2023
Last Update Date
25 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9545784000
Graduation Year
2022 (4 years ago)
PAC ID
2769843978
Group Practice PAC ID
0244261683
Professional Enrollment ID
I20230804000372
Address ID
FL330671538PA6093XTERX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for TIFFANY YOLANDA SHIRLEY

  • 3439 68th Street Cir E

    Palmetto, FL 342217352

    Phone: (941) 545-7869

    Type: Location

  • PO BOX 1267

    ONECO, FL 342641267

    Phone: (941) 545-7869

    Type: Mailing

  • 6804 CECELIA DRIVE

    NEW PORT RICHEY, FL 346534935

    Phone: (855) 232-0644

    Fax: (888) 546-0488

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2023-08-04

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
I20230804000372INurse 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
G0318Prolonged home or residence evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualif1,20861$0
99350Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes11756$0
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month6039$0
99439Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month3322$0
99345Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 34221)

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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: 0244261683View full group profile
NameSpecialtyState
-FL
Internal MedicineFL
Nurse PractitionerGA
-FL
Nurse PractitionerFL
Nurse PractitionerFL
Interventional Pain ManagementFL
Nurse PractitionerFL
Nurse PractitionerFL
-FL

Reviews

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Frequently asked questions

Can I verify TIFFANY YOLANDA SHIRLEY with an NPI only?
You can start verification with NPI 1114628849 for TIFFANY YOLANDA SHIRLEY, then check state licensing separately.
Does CMS list TIFFANY YOLANDA SHIRLEY as active?
Yes — TIFFANY YOLANDA SHIRLEY is active in the NPI listing used on this page.
What taxonomy line describes TIFFANY YOLANDA SHIRLEY?
For research purposes, treat TIFFANY YOLANDA SHIRLEY as Family Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect TIFFANY YOLANDA SHIRLEY on a map?
Expect Palmetto, Florida as a primary anchor for TIFFANY YOLANDA SHIRLEY unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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