TIFFANY BALLENTINE – Family Nurse Practitioner, NPI 1558010694

TIFFANY BALLENTINE is a healthcare provider. based in Naples, Florida. specializing in NURSE PRACTITIONER. They hold a License No. 9435094 (FL). The NPI Number for TIFFANY BALLENTINE is 1558010694

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
TIFFANY BALLENTINE
NPI
1558010694
Phone
(239) 418-0999
Address
2500 Goodlette-Frank Rd N
Enumeration Date
23 March 2022
Last Update Date
18 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2395602657
Graduation Year
2021 (5 years ago)
PAC ID
0143601666
Group Practice PAC ID
7719397207
Professional Enrollment ID
I20220714003888
Address ID
FL339354491LA825XXWAYX404

Contacts

Other Endpoint
bettervision.net
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness85
Years active:4State licenses:2Other namesUpdated within 12 months

24,232 NURSE PRACTITIONER in FL

Provider Addresses for TIFFANY BALLENTINE

  • 2500 Goodlette-Frank Rd N

    Naples, FL 341034608

    Phone: (239) 418-0999

    Type: Location

  • 9617 GULF RESEARCH LANE

    FORT MYERS, FL 33912

    Phone:

    Type: Mailing

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 $121.

Total Amount is formed as General ($121) + Research ($0) + Ownership ($0) = $121.

Last reported payment date: 2023-06-21 • Largest payer in this snapshot: Sun Pharmaceutical Industries Inc. ($121).

Total Amount

$121

General + Research + Ownership

Payments

1

Total payment records

General Amount

$121

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-06-21

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: 2022-07-14

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
I20220714003888INurse 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
99442Telephone medical discussion with physician, 11-20 minutes405398$0
99443Telephone medical discussion with physician, 21-30 minutes130130$0
99441Telephone medical discussion with physician, 5-10 minutes7769$0
View full utilization report →

Insurance plans in this area (ZIP 34103)

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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: 7719397207View full group profile
NameSpecialtyState
Family PracticeNY
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

How is TIFFANY BALLENTINE identified in CMS data?
CMS-hosted NPPES data lists TIFFANY BALLENTINE with NPI 1558010694.
Does CMS list TIFFANY BALLENTINE as active?
Yes — TIFFANY BALLENTINE is active in the NPI listing used on this page.
What is TIFFANY BALLENTINE's primary classification?
Family Nurse Practitioner is the headline specialty for TIFFANY BALLENTINE here. Clinical services aligned with this taxonomy classification.
What address line appears for TIFFANY BALLENTINE?
TIFFANY BALLENTINE's geographic hint is Naples, Florida in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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