MS. TIFFANY LOUISE GOSE (PA-C) – Physician Assistant, NPI 1023615135

MS. TIFFANY LOUISE GOSE (PA-C) is a healthcare provider. based in Lansing, Michigan. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 5601009653 (MI). The NPI Number for MS. TIFFANY LOUISE GOSE (PA-C) is 1023615135

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
MS. TIFFANY LOUISE GOSE (PA-C)
NPI
1023615135
Phone
(517) 913-3888
Address
5525 S Martin Luther King Jr Blvd
Enumeration Date
2 October 2020
Last Update Date
1 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2019 (7 years ago)
PAC ID
5294145629
Group Practice PAC ID
8022097963
Professional Enrollment ID
I20201113000264
Address ID
MI489114271LA3955XDRXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

6,066 PHYSICIAN ASSISTANT in MI

Provider Addresses for MS. TIFFANY LOUISE GOSE (PA-C)

  • 5525 S Martin Luther King Jr Blvd

    Lansing, MI 489113546

    Phone: (517) 913-3888

    Type: Location

  • 535 CHRISTIANCY ST

    LANSING, MI 489101715

    Phone: (269) 506-3944

    Type: Mailing

  • 5525 S MARTIN LUTHER KING JR BLVD

    LANSING, MI 489113546

    Phone: (517) 913-3888

    Type: Location

  • 3955 PATIENT CARE DR STE A

    LANSING, MI 489114271

    Phone: (517) 374-7600

    Fax: (885) 480-9150

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 13 Open Payments records for all available years, with a total value of $245.

Total Amount is formed as General ($245) + Research ($0) + Ownership ($0) = $245.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: ABBVIE INC. ($74).

Total Amount

$245

General + Research + Ownership

Payments

13

Total payment records

General Amount

$245

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

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: 2020-11-13

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
I20201113000264IPhysician AssistantMITBD

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
99214Established patient office or other outpatient visit, 30-39 minutes9863$0
99213Established patient office or other outpatient visit, 20-29 minutes2220$0
View full utilization report →

Insurance plans in this area (ZIP 48911)

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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: 8022097963View full group profile
NameSpecialtyState
Nurse PractitionerMI
-MI
Osteopathic Manipulative MedicineMI
Internal MedicineMI
-MI
Nurse PractitionerMI
Internal MedicineMI
-MI
O B S T E T R I C S/ G Y N E C O L O G YMI
Internal MedicineMI

Reviews

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Frequently asked questions

What is the registry number for MS. TIFFANY LOUISE GOSE (PA-C)?
The registry entry for MS. TIFFANY LOUISE GOSE (PA-C) shows NPI 1023615135.
Is MS. TIFFANY LOUISE GOSE (PA-C)'s NPI status active today?
Active status means MS. TIFFANY LOUISE GOSE (PA-C)'s NPI record is not deactivated in the public file.
How should patients interpret MS. TIFFANY LOUISE GOSE (PA-C)'s specialty?
The extract shows Physician Assistant for MS. TIFFANY LOUISE GOSE (PA-C). Clinical services aligned with this taxonomy classification.
Which community is linked to MS. TIFFANY LOUISE GOSE (PA-C)?
MS. TIFFANY LOUISE GOSE (PA-C) shows a connection to Lansing, Michigan in registry-derived data.
Why is information missing for MS. TIFFANY LOUISE GOSE (PA-C)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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