TIFFANY LINN MCCLENDON – Nurse Practitioner, NPI 1114582566

TIFFANY LINN MCCLENDON is a healthcare provider. based in Palestine, Texas. specializing in NURSE PRACTITIONER. They hold a License No. AP143317 (TX). The NPI Number for TIFFANY LINN MCCLENDON is 1114582566

Main info

Female
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
TIFFANY LINN MCCLENDON
NPI
1114582566
Phone
(903) 948-6405
Address
6675 FM 2419
Enumeration Date
1 May 2019
Last Update Date
3 October 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9037312219
Graduation Year
2015 (11 years ago)
PAC ID
2062845787
Group Practice PAC ID
6709002777
Professional Enrollment ID
I20191210001598
Address ID
TX758016958PA2900XLOOP304
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

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Provider Addresses for TIFFANY LINN MCCLENDON

  • 6675 FM 2419

    PALESTINE, TX 758015560

    Phone: (903) 948-6405

    Type: Mailing

  • 2900, Loop 256, Palestine, Anderson County, Texas, 75801, United States

    PALESTINE, TX 758016958

    Phone: (903) 731-1000

    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: 2019-12-10

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
I20191210001598INurse PractitionerTXTBD

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
99285Emergency department visit with high level of medical decision making3838$0
99284Emergency department visit with moderate level of medical decision making3736$0
99213Established patient office or other outpatient visit, 20-29 minutes2826$0
99283Emergency department visit with low level of medical decision making2020$0
View full utilization report →

Insurance plans in this area (ZIP 75801)

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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: 6709002777View full group profile

Reviews

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Frequently asked questions

Does TIFFANY LINN MCCLENDON share an NPI with anyone else?
NPI numbers are unique to each provider or organization — TIFFANY LINN MCCLENDON uses 1114582566.
Can I rely on TIFFANY LINN MCCLENDON being an active provider?
As of the registry snapshot, TIFFANY LINN MCCLENDON is marked active.
What is TIFFANY LINN MCCLENDON's specialty?
The listing groups TIFFANY LINN MCCLENDON with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What area does TIFFANY LINN MCCLENDON serve?
TIFFANY LINN MCCLENDON's listing highlights Palestine, Texas; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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