MRS. TIFFANY MICHELLE LUONGO (FNP, RN) – Registered Nurse, NPI 1013470194

MRS. TIFFANY MICHELLE LUONGO (FNP, RN) is a healthcare provider. based in Medford, Massachusetts. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP, RN. They hold a License No. 4053510 (KY). The NPI Number for MRS. TIFFANY MICHELLE LUONGO (FNP, RN) is 1013470194

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
MRS. TIFFANY MICHELLE LUONGO (FNP, RN)
NPI
1013470194
Phone
(617) 791-1580
Address
120 WALSH ST
Enumeration Date
7 April 2019
Last Update Date
11 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8663892727
Graduation Year
2020 (6 years ago)
PAC ID
8921413741
Group Practice PAC ID
2264594944
Professional Enrollment ID
I20210209000058
Address ID
MA021553825ME85XXXSTXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness85
Years active:7State licenses:9Digital endpointsOther names

9,049 NURSE PRACTITIONER in MA

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Provider Addresses for MRS. TIFFANY MICHELLE LUONGO (FNP, RN)

  • 120, Walsh Street, Medford, Middlesex County, Massachusetts, 02155, United States

    MEDFORD, MA 021551245

    Phone: (617) 791-1580

    Type: Mailing

  • Cambridge Hospital, 1493, Cambridge Street, Inman Square, Cambridge, Middlesex County, Massachusetts, 02139, United States

    CAMBRIDGE, MA 021391047

    Phone: (617) 665-1000

    Type: Location

  • 4961 Roberts Rd

    Hilliard, OH 430268129

    Phone: (866) 389-2727

    Type: Location

  • 36 WHITE STREET

    CAMBRIDGE, MA 021401449

    Phone: (617) 876-5519

    Type: Mailing

  • 36 WHITE ST

    CAMBRIDGE, MA 021401449

    Phone: (617) 876-5519

    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: 2021-02-09

PECOS data refreshed: 2026-06-15

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
I20210209000058INurse PractitionerMATBD

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
G0008Administration of influenza virus vaccine3636$0
90694Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage3333$0
90480Admn sarscov2 vacc 1 dose2121$0
91320Sarscv2 vac 30mcg trs-suc im2020$0
99213Established patient office or other outpatient visit, 20-29 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 02155)

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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: 2264594944View full group profile

Reviews

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Frequently asked questions

Does MRS. TIFFANY MICHELLE LUONGO (FNP, RN) have a public NPI I can cite?
Public records show MRS. TIFFANY MICHELLE LUONGO (FNP, RN) under NPI 1013470194.
Is MRS. TIFFANY MICHELLE LUONGO (FNP, RN)'s NPI status active today?
Active status means MRS. TIFFANY MICHELLE LUONGO (FNP, RN)'s NPI record is not deactivated in the public file.
Which specialty label fits MRS. TIFFANY MICHELLE LUONGO (FNP, RN)?
NPPES ties MRS. TIFFANY MICHELLE LUONGO (FNP, RN) to Registered Nurse in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to MRS. TIFFANY MICHELLE LUONGO (FNP, RN)?
MRS. TIFFANY MICHELLE LUONGO (FNP, RN) shows a connection to Medford, Massachusetts in registry-derived data.
Can I export MRS. TIFFANY MICHELLE LUONGO (FNP, RN)'s record?
You can download the official NPPES record; we summarize key fields for readability.