WANDA FAYE TIPTON (APRN) – Family Nurse Practitioner, NPI 1255008835

WANDA FAYE TIPTON (APRN) is a healthcare provider. based in Leesburg, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 11014782 (FL). The NPI Number for WANDA FAYE TIPTON (APRN) is 1255008835

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
WANDA FAYE TIPTON (APRN)
NPI
1255008835
Phone
(850) 525-2887
Address
2700 HOLLOW LN
Enumeration Date
23 August 2021
Last Update Date
23 August 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4074990755
Graduation Year
2019 (7 years ago)
PAC ID
6709275746
Group Practice PAC ID
7012294556
Professional Enrollment ID
I20211115000107
Address ID
FL347111925CL1804XDRXX405
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

24,243 NURSE PRACTITIONER in FL

Provider Addresses for WANDA FAYE TIPTON (APRN)

  • 2700 HOLLOW LN

    LEESBURG, FL 347489596

    Phone: (850) 525-2887

    Type: Mailing

  • 1804 OAKLEY SEAVER DR STE F

    CLERMONT, FL 347111925

    Phone: (407) 499-0755

    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: 2021-11-15

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
I20211115000107INurse 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
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes4,149503$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes1,132196$0
99306Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes384380$0
View full utilization report →

Insurance plans in this area (ZIP 34748)

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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: 7012294556View full group profile
NameSpecialtyState
Physical Medicine And RehabilitationFL
Nurse PractitionerFL
Physical Medicine And RehabilitationFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

Where can patients find WANDA FAYE TIPTON (APRN)'s NPI?
You can confirm WANDA FAYE TIPTON (APRN) with NPI 1255008835; it appears in the national provider directory.
Does this profile mean WANDA FAYE TIPTON (APRN) is currently active?
Yes — WANDA FAYE TIPTON (APRN) appears active in the national provider directory.
What field does WANDA FAYE TIPTON (APRN) work in?
You can think of WANDA FAYE TIPTON (APRN) as practicing within Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location shows for WANDA FAYE TIPTON (APRN)?
We surface Leesburg, Florida for WANDA FAYE TIPTON (APRN) based on available NPPES addresses.
Is WANDA FAYE TIPTON (APRN) a real provider?
This page reflects official NPPES data for NPI 1255008835. Always confirm identity and privileges with the practice and licensing boards.

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