Tiffany Leigh Henry, APRN is a medicare enrolled "Nurse Practitioner - Family" in Gum Spring, Virginia. She graduated from nursing school in 2025 and has 1 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Ennoble Hc Dmv Llc and her current practice location is
4501 Three Chopt Rd, Gum Spring, Virginia. You can reach out to her office (for appointments etc.) via phone at
(540) 967-7101.
Tiffany Leigh Henry is licensed to practice in Virginia (license number 0024196956) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1386450187.
Provider's Profile
| Full Name | Tiffany Leigh Henry |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 1 Years |
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| Location | 4501 Three Chopt Rd, Gum Spring, Virginia |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Tiffany Leigh Henry graduated from nursing school in 2025
NPI Data:
- NPI Number: 1386450187
- Provider Enumeration Date: 12/06/2024
- Last Update Date: 04/01/2026
Medicare PECOS Information:
- PECOS PAC ID: 3476024928
- Enrollment ID: I20260604003974
Medical Identifiers
Medical identifiers for Tiffany Leigh Henry such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1386450187 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LF0000X | Nurse Practitioner - Family | 0024196956 (Virginia) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Ennoble Hc Dmv Llc | 9032517925 | 112 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Tiffany Leigh Henry allows following entities to bill medicare on her behalf.
| Entity Name | Ennoble HC Dmv LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1104492115 PECOS PAC ID: 9032517925 Enrollment ID: O20211221000236 |
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| Entity Name | Ennoble HC Dmv II LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1134002900 PECOS PAC ID: 0840789749 Enrollment ID: O20251030002883 |
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| Entity Name | Ennoble HC Dmv III LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1922981695 PECOS PAC ID: 5092205856 Enrollment ID: O20251110001045 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tiffany Leigh Henry is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Tiffany Leigh Henry, APRN 4501 Three Chopt Rd, Gum Spring, VA 23065-2030 Ph: (540) 967-7101 | Tiffany Leigh Henry, APRN 4501 Three Chopt Rd, Gum Spring, VA 23065-2030 Ph: (540) 967-7101 |
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