MRS. TIFFANY KAY HEADRICK (NP-C) – Family Nurse Practitioner, NPI 1124780556
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
22,204 NURSE PRACTITIONER in TX
Provider Addresses for MRS. TIFFANY KAY HEADRICK (NP-C)
1050 STATE HIGHWAY 16 S
BANDERA, TX 780034830
Phone: (830) 796-7713
Fax: (830) 796-7744
Type: Mailing
1050 HWY 16 S
BANDERA, TX 780034830
Phone: (830) 426-6299
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 113 Open Payments records for all available years, with a total value of $2,859.
Total Amount is formed as General ($2,859) + Research ($0) + Ownership ($0) = $2,859.
Last reported payment date: 2024-12-27 • Largest payer in this snapshot: ABBVIE INC. ($777).
Total Amount
$2,859
General + Research + Ownership
Payments
113
Total payment records
General Amount
$2,859
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $777 |
| Amgen Inc. | $444 |
| AstraZeneca Pharmaceuticals LP | $215 |
| Inspire Medical Systems, Inc. | $188 |
| Lilly USA, LLC | $168 |
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: 2021-10-27
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20211027000228 | I | Nurse Practitioner | TX | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 211 | 163 | $0 |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 163 | 52 | $0 |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 161 | 64 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 150 | 105 | $0 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 52 | 13 | $0 |
Insurance plans in this area (ZIP 78003)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | TX | |
| - | TX | |
| Physician Assistant | TX | |
| Internal Medicine | TX | |
| Physician Assistant | TX | |
| Physician Assistant | TX | |
| Internal Medicine | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| - | TX |
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