TIFFANY MARIE LOCK (APRN) – Nurse Practitioner, NPI 1639846454

TIFFANY MARIE LOCK (APRN) is a healthcare provider. based in Kissimmee, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. APRN11015090 (FL). The NPI Number for TIFFANY MARIE LOCK (APRN) is 1639846454

Main info

Female
Sole Proprietor
5 Years Of Experience
Name
TIFFANY MARIE LOCK (APRN)
NPI
1639846454
Phone
(407) 785-1111
Address
804 EMMETT ST
Enumeration Date
28 August 2021
Last Update Date
20 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3522439341
Graduation Year
2021 (5 years ago)
PAC ID
7315332160
Group Practice PAC ID
7911131198
Professional Enrollment ID
I20220315001140
Address ID
FL347113510CL1601XSTXX301
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 MARIE LOCK (APRN)

  • 804 EMMETT ST

    KISSIMMEE, FL 347415434

    Phone: (407) 785-1111

    Fax: (407) 553-3061

    Type: Mailing

  • 5900 LAKE ELLENOR DR

    STE 700

    ORLANDO, FL 328094643

    Phone: (407) 453-1606

    Type: Mailing

  • 5900 LAKE ELLENOR DR STE 700

    ORLANDO, FL 328094643

    Phone: (407) 352-2542

    Type: Location

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 $119.

Total Amount is formed as General ($119) + Research ($0) + Ownership ($0) = $119.

Last reported payment date: 2023-01-18 • Largest payer in this snapshot: Mylan Specialty L.P. ($119).

Total Amount

$119

General + Research + Ownership

Payments

1

Total payment records

General Amount

$119

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-01-18

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Mylan Specialty L.P.$119
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: 2022-03-15

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
I20220315001140INurse 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 minutes2,842304$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes243132$0
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes183131$0
99307Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes8242$0
99316Nursing facility discharge management, more than 30 minutes2222$0
View full utilization report →

Insurance plans in this area (ZIP 34741)

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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: 7911131198View full group profile
NameSpecialtyState
Qualified Speech Language PathologistFL
Qualified Speech Language PathologistFL
Physical Therapist In Private PracticeFL
Occupational Therapist In Private PracticeFL
Physical Therapist In Private PracticeNY
Physical Therapist In Private PracticeFL
Qualified Speech Language PathologistFL
Occupational Therapist In Private PracticeFL
Occupational Therapist In Private PracticeFL
Physical Therapist In Private PracticeGA

Reviews

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Frequently asked questions

Can I cross-check TIFFANY MARIE LOCK (APRN) using NPI 1639846454?
NPI 1639846454 belongs to TIFFANY MARIE LOCK (APRN); compare other details if you need extra assurance.
Would TIFFANY MARIE LOCK (APRN) appear as active to a payer?
You can treat TIFFANY MARIE LOCK (APRN) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with TIFFANY MARIE LOCK (APRN)?
TIFFANY MARIE LOCK (APRN)'s record emphasizes Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Florida is TIFFANY MARIE LOCK (APRN) registered?
Use Kissimmee, Florida as the headline location for TIFFANY MARIE LOCK (APRN) here.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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