TIFFANY ANN WILLIAMS (FNP-C) – Nurse Practitioner, NPI 1275335200

TIFFANY ANN WILLIAMS (FNP-C) is a healthcare provider. based in Boise, Idaho. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. 3871146 (ID). The NPI Number for TIFFANY ANN WILLIAMS (FNP-C) is 1275335200

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
TIFFANY ANN WILLIAMS (FNP-C)
NPI
1275335200
Phone
(208) 250-2162
Address
2309 N CLAREMONT DR
Enumeration Date
27 March 2025
Last Update Date
27 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2089993034
Graduation Year
2023 (3 years ago)
PAC ID
9335629609
Group Practice PAC ID
2668824608
Professional Enrollment ID
I20260216002908
Address ID
ID837048296BO8950XSTXX406
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

1,802 NURSE PRACTITIONER in ID

Provider Addresses for TIFFANY ANN WILLIAMS (FNP-C)

  • 2309 N CLAREMONT DR

    BOISE, ID 837023018

    Phone: (208) 250-2162

    Type: Mailing

  • 2667 E GALA CT STE 110

    MERIDIAN, ID 836422791

    Phone: (208) 268-8851

    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: 2026-02-16

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
I20260216002908INurse PractitionerIDTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 83702)

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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: 2668824608View full group profile
NameSpecialtyState
Internal MedicineID
Family PracticeID
Family PracticeID
Family PracticeID
Physician AssistantID

Reviews

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Frequently asked questions

How do payers reference TIFFANY ANN WILLIAMS (FNP-C)?
For TIFFANY ANN WILLIAMS (FNP-C), use NPI 1275335200 as the unique 10-digit identifier.
Is there an active status for TIFFANY ANN WILLIAMS (FNP-C)?
For scheduling context, TIFFANY ANN WILLIAMS (FNP-C) is shown as active in the registry.
What clinical focus is listed for TIFFANY ANN WILLIAMS (FNP-C)?
At a glance, TIFFANY ANN WILLIAMS (FNP-C) is tied to Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Idaho is TIFFANY ANN WILLIAMS (FNP-C) registered?
Use Boise, Idaho as the headline location for TIFFANY ANN WILLIAMS (FNP-C) here.
Can I trust this NPI listing for TIFFANY ANN WILLIAMS (FNP-C)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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