MRS. TIFFANY NICOLE CRENSHAW (FNP-C) – Nurse Practitioner, NPI 1194458877
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 NICOLE CRENSHAW (FNP-C)
5414 S Broadway Ave
Tyler, TX 757031335
Phone: (903) 581-1601
Type: Location
3593 E Grande Blvd
Tyler, TX 757071400
Phone: (903) 839-2585
Type: Location
965 COUNTY ROAD 1040
COOPER, TX 754328519
Phone: (940) 768-9839
Type: Mailing
1339 S BROADWAY ST
SULPHUR SPRINGS, TX 754824895
Phone: (903) 951-1001
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: 2022-08-25
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 |
|---|---|---|---|---|
| I20220825004334 | 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 | 251 | 216 | $0 |
| 87428 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza | 93 | 91 | $0 |
| 87880 | Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) | 62 | 58 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 44 | 44 | $0 |
| 81003 | Automated urinalysis test | 37 | 33 | $0 |
Insurance plans in this area (ZIP 75703)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | AZ | |
| Internal Medicine | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| - | TX | |
| E N D O C R I N O L O G Y | TX | |
| Nurse Practitioner | IL | |
| - | NC | |
| Physician Assistant | LA | |
| Hospitalist, Gastroenterology | TX |
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