MS. TIFFANY NICOLE MECKLER (PA-C) – Physician Assistant, NPI 1023206133

MS. TIFFANY NICOLE MECKLER (PA-C) is a healthcare provider. based in East stroudsburg, Pennsylvania. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. OA003992 (PA). The NPI Number for MS. TIFFANY NICOLE MECKLER (PA-C) is 1023206133

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
MS. TIFFANY NICOLE MECKLER (PA-C)
NPI
1023206133
Phone
(570) 424-7764
Address
175 E BROWN ST
Enumeration Date
15 October 2007
Last Update Date
14 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4845262200
Graduation Year
2007 (19 years ago)
PAC ID
9830413988
Group Practice PAC ID
6709798333
Professional Enrollment ID
I20190110001080
Address ID
PA183217800BA3565X611X302
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:18State licenses:2Digital endpointsOther names

9,691 PHYSICIAN ASSISTANT in PA

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Provider Addresses for MS. TIFFANY NICOLE MECKLER (PA-C)

  • 175, East Brown Street, East Stroudsburg, Monroe County, Pennsylvania, 18301, United States

    SUITE 115

    EAST STROUDSBURG, PA 183013098

    Phone: (570) 424-7764

    Fax: (570) 421-0760

    Type: Location

  • 3565 ROUTE 611 STE 300

    BARTONSVILLE, PA 183217800

    Phone: (272) 212-3090

    Fax: (866) 289-8937

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $163.

Total Amount is formed as General ($163) + Research ($0) + Ownership ($0) = $163.

Last reported payment date: 2024-05-17 • Largest payer in this snapshot: Endogastric Solutions, Inc ($96).

Total Amount

$163

General + Research + Ownership

Payments

5

Total payment records

General Amount

$163

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-17

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: 2019-01-10

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
I20190110001080IPhysician AssistantPATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes227143$0
99203New patient office or other outpatient visit, 30-44 minutes4646$0
View full utilization report →

Insurance plans in this area (ZIP 18301)

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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: 6709798333View full group profile

Reviews

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Frequently asked questions

What federal number belongs to MS. TIFFANY NICOLE MECKLER (PA-C)?
The federal identifier for MS. TIFFANY NICOLE MECKLER (PA-C) is NPI 1023206133.
Is MS. TIFFANY NICOLE MECKLER (PA-C)'s NPI currently valid?
The extract we use shows MS. TIFFANY NICOLE MECKLER (PA-C) as active.
Does MS. TIFFANY NICOLE MECKLER (PA-C) list a primary specialty?
If you are matching referrals, note Physician Assistant for MS. TIFFANY NICOLE MECKLER (PA-C). Clinical services aligned with this taxonomy classification.
Where does public data place MS. TIFFANY NICOLE MECKLER (PA-C)?
The snapshot lists East Stroudsburg, Pennsylvania for MS. TIFFANY NICOLE MECKLER (PA-C); download NPPES for the complete set.
Is MS. TIFFANY NICOLE MECKLER (PA-C) a real provider?
This page reflects official NPPES data for NPI 1023206133. Always confirm identity and privileges with the practice and licensing boards.

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