TIFFANY KIDD WORMUTH (PA) – Physician Assistant, NPI 1992727416

TIFFANY KIDD WORMUTH (PA) is a healthcare provider. based in Virginia beach, Virginia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. NJDCATEMP-007343 (NJ). The NPI Number for TIFFANY KIDD WORMUTH (PA) is 1992727416

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
TIFFANY KIDD WORMUTH (PA)
NPI
1992727416
Phone
(757) 252-3050
Address
1300 SENTARA PARK # 3
Enumeration Date
24 July 2006
Last Update Date
16 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8443338411
Graduation Year
2009 (17 years ago)
PAC ID
6901865195
Group Practice PAC ID
2062826316
Professional Enrollment ID
I20041004001028
Address ID
VA227013980CU499XXCTRX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness85
Years active:19State licenses:2Digital endpointsOther names

4,429 PHYSICIAN ASSISTANT in VA

Provider Addresses for TIFFANY KIDD WORMUTH (PA)

  • 1300 SENTARA PARK # 3

    VIRGINIA BEACH, VA 234645884

    Phone: (757) 252-3050

    Type: Location

  • 5000 COX RD

    GLEN ALLEN, VA 230609263

    Phone: (804) 968-5700

    Type: Mailing

  • 1300 Sentara Park # 3

    Virginia Beach, VA 234645884

    Phone: (757) 252-3050

    Type: Location

  • 7200 Glen Forest Dr Ste 106

    Richmond, VA 232263768

    Phone: (804) 495-0053

    Fax: (720) 598-0440

    Type: Location

  • 7238 Mechanicsville Tpke

    Mechanicsville, VA 231113502

    Phone: (804) 559-9900

    Fax: (804) 559-6530

    Type: Location

  • 6512 WOODLAKE VILLAGE CIR

    MIDLOTHIAN, VA 231122200

    Phone: (888) 628-8272

    Type: Location

  • Patient First, 7238, Mechanicsville Turnpike, Mechanicsville, Hanover County, Virginia, 23111, United States

    MECHANICSVILLE, VA 231113502

    Phone: (804) 559-9900

    Fax: (804) 559-6530

    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: 2004-10-04

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
I20041004001028IPhysician AssistantVATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes118117$0
99213Established patient office or other outpatient visit, 20-29 minutes111109$0
99203New patient office or other outpatient visit, 30-44 minutes4747$0
99204New patient office or other outpatient visit, 45-59 minutes4040$0
71046X-ray of chest, 2 views1515$0
View full utilization report →

Insurance plans in this area (ZIP 23464)

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Provider's Procedures

TIFFANY KIDD WORMUTH (PA) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTVA81002Urinalysis, manual test2020

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: 2062826316View full group profile
NameSpecialtyState
Vascular SurgeryVA
P O D I A T R YPA
General Surgery, Vascular SurgeryTX
Physician AssistantVA
P O D I A T R YMD
P O D I A T R YMD
Interventional Radiology, Diagnostic RadiologyVA
Nurse PractitionerVA
Physician AssistantMD
P O D I A T R YVA

Reviews

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Frequently asked questions

Can I cross-check TIFFANY KIDD WORMUTH (PA) using NPI 1992727416?
NPI 1992727416 belongs to TIFFANY KIDD WORMUTH (PA); compare other details if you need extra assurance.
Would TIFFANY KIDD WORMUTH (PA) appear as active to a payer?
You can treat TIFFANY KIDD WORMUTH (PA) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe TIFFANY KIDD WORMUTH (PA)'s focus?
For TIFFANY KIDD WORMUTH (PA), the primary taxonomy reads as Physician Assistant. Clinical services aligned with this taxonomy classification.
What practice footprint exists for TIFFANY KIDD WORMUTH (PA)?
Travel planning: use Virginia Beach, Virginia as the reference point for TIFFANY KIDD WORMUTH (PA), then confirm.
When was this NPI issued?
Enumeration for TIFFANY KIDD WORMUTH (PA) is noted as July 24, 2006 where the registry provides it.

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