TIFFANY HERRON (CNP) – General Practice Registered Nurse, NPI 1093553323

TIFFANY HERRON (CNP) is a healthcare provider. based in Lima, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials CNP. They hold a License No. 0036571 (OH). The NPI Number for TIFFANY HERRON (CNP) is 1093553323

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
TIFFANY HERRON (CNP)
NPI
1093553323
Phone
(419) 231-1409
Address
312 S JUDKINS AVE
Enumeration Date
19 July 2024
Last Update Date
19 July 2024

Doctor Profile

Medical School Name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2167525600
Graduation Year
2023 (3 years ago)
PAC ID
0941721575
Group Practice PAC ID
2769916915
Professional Enrollment ID
I20250311002926
Address ID
OH441225249SH3550XRDXX300
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

14,984 NURSE PRACTITIONER in OH

Provider Addresses for TIFFANY HERRON (CNP)

  • 312 S JUDKINS AVE

    LIMA, OH 458053140

    Phone: (419) 231-1409

    Type: Mailing

  • 505 WALNUT ST

    WAPAKONETA, OH 458951868

    Phone: (419) 738-0725

    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: 2025-03-11

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
I20250311002926INurse PractitionerOHTBD

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 45805)

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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: 2769916915View full group profile
NameSpecialtyState
Nurse PractitionerGA
Nurse PractitionerNJ
Nurse PractitionerKY
Nurse PractitionerOH
Nurse PractitionerOH
Nurse PractitionerIN
Nurse PractitionerOH
Nurse PractitionerOH
Nurse PractitionerKY
Nurse PractitionerNY

Reviews

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Frequently asked questions

Can I verify TIFFANY HERRON (CNP) with an NPI only?
You can start verification with NPI 1093553323 for TIFFANY HERRON (CNP), then check state licensing separately.
Can I rely on TIFFANY HERRON (CNP) being an active provider?
As of the registry snapshot, TIFFANY HERRON (CNP) is marked active.
What is TIFFANY HERRON (CNP)'s primary classification?
General Practice Registered Nurse is the headline specialty for TIFFANY HERRON (CNP) here. Clinical services aligned with this taxonomy classification.
What address line appears for TIFFANY HERRON (CNP)?
TIFFANY HERRON (CNP)'s geographic hint is Lima, Ohio in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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