MRS. TIFFANY DAWN LIPSCOMB (AANP, APRN, NP-C) – Family Nurse Practitioner, NPI 1417622747

MRS. TIFFANY DAWN LIPSCOMB (AANP, APRN, NP-C) is a healthcare provider. based in Edmond, Oklahoma. specializing in NURSE PRACTITIONER. They hold the professional credentials AANP, APRN, NP-C. They hold a License No. 204971 (OK). The NPI Number for MRS. TIFFANY DAWN LIPSCOMB (AANP, APRN, NP-C) is 1417622747

Main info

Female
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
MRS. TIFFANY DAWN LIPSCOMB (AANP, APRN, NP-C)
NPI
1417622747
Phone
(405) 550-9426
Address
1101 Juno Cir
Enumeration Date
10 August 2021
Last Update Date
19 May 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4053915526
Graduation Year
2021 (5 years ago)
PAC ID
9436548989
Group Practice PAC ID
0840555777
Professional Enrollment ID
I20211123000279
Address ID
OK730456591HA21001STXX400

Contacts

Other Endpoint
Edmond
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness85
Years active:4State licenses:1Other namesUpdated within 12 months

3,299 NURSE PRACTITIONER in OK

Provider Addresses for MRS. TIFFANY DAWN LIPSCOMB (AANP, APRN, NP-C)

  • 1101 Juno Cir

    Edmond, OK 730036064

    Phone: (405) 550-9426

    Type: Location

  • 14101 N Eastern Ave Ste B

    Edmond, OK 730135860

    Phone: (405) 237-5698

    Type: Location

  • 1101 JUNO CIR

    EDMOND, OK 730036064

    Phone: (405) 550-9426

    Type: Mailing

  • 2903 W BRITTON RD

    OKLAHOMA CITY, OK 731204433

    Phone: (405) 849-4650

    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: 2021-11-23

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
I20211123000279INurse PractitionerOKTBD

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
J1100Injection, dexamethasone sodium phosphate, 1 mg17015$0
99214Established patient office or other outpatient visit, 30-39 minutes137104$0
99213Established patient office or other outpatient visit, 20-29 minutes8971$0
99204New patient office or other outpatient visit, 45-59 minutes4949$0
99203New patient office or other outpatient visit, 30-44 minutes4444$0
View full utilization report →

Insurance plans in this area (ZIP 73003)

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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: 0840555777View full group profile
NameSpecialtyState
-OK
Physician AssistantOK
Physician AssistantOK
Nurse PractitionerOK
Physician AssistantOK
Nurse PractitionerTX
Nurse PractitionerOK
Nurse PractitionerOK
Nurse PractitionerOK
Nurse PractitionerOK

Reviews

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Frequently asked questions

Is there an official ID for MRS. TIFFANY DAWN LIPSCOMB (AANP, APRN, NP-C) in U.S. healthcare records?
The official identifier for MRS. TIFFANY DAWN LIPSCOMB (AANP, APRN, NP-C) is NPI 1417622747.
Would MRS. TIFFANY DAWN LIPSCOMB (AANP, APRN, NP-C) appear as active to a payer?
You can treat MRS. TIFFANY DAWN LIPSCOMB (AANP, APRN, NP-C) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for MRS. TIFFANY DAWN LIPSCOMB (AANP, APRN, NP-C)?
At a glance, MRS. TIFFANY DAWN LIPSCOMB (AANP, APRN, NP-C) is tied to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with MRS. TIFFANY DAWN LIPSCOMB (AANP, APRN, NP-C)?
Directory geography for MRS. TIFFANY DAWN LIPSCOMB (AANP, APRN, NP-C) centers on Edmond, Oklahoma.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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