JOHNITA TILLER (APRN) – Family Nurse Practitioner, NPI 1083191076

JOHNITA TILLER (APRN) is a healthcare provider. based in Middletown, Delaware. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. L1-0035771 (DE). The NPI Number for JOHNITA TILLER (APRN) is 1083191076

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
JOHNITA TILLER (APRN)
NPI
1083191076
Phone
(302) 449-3030
Address
124 SLEEPY HOLLOW DR STE 201
Enumeration Date
23 July 2018
Last Update Date
23 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4434856213
Graduation Year
2017 (9 years ago)
PAC ID
5597013292
Group Practice PAC ID
0143657247
Professional Enrollment ID
I20240701002347
Address ID
MD219216435EL310XXHWYX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:7State licenses:3Digital endpointsOther names

1,273 NURSE PRACTITIONER in DE

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Provider Addresses for JOHNITA TILLER (APRN)

  • Sleepy Hollow Drive, Middletown, New Castle County, Delaware, United States

    MIDDLETOWN, DE 197095838

    Phone: (302) 449-3030

    Type: Location

  • 303, Liborio Drive, Middletown, New Castle County, Delaware, 19709, United States

    MIDDLETOWN, DE 197093112

    Phone: (302) 563-4678

    Type: Mailing

  • 1 CHESTNUT HILL PLZ STE C

    NEWARK, DE 197132761

    Phone: (302) 455-2730

    Fax: (302) 455-2731

    Type: Location

  • 1 CHESTNUT HILL PLZ

    NEWARK, DE 197132701

    Phone: (302) 266-0960

    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: 2024-07-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20180810002319INurse PractitionerDETBD
I20240701002347INurse PractitionerMDTBD

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 minutes9491$0
87804Detection test by immunoassay with direct visual observation for influenza virus6633$0
87811Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)3737$0
99213Established patient office or other outpatient visit, 20-29 minutes2020$0
81003Automated urinalysis test2020$0
View full utilization report →

Insurance plans in this area (ZIP 19709)

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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: 0143657247View full group profile
NameSpecialtyState
Nurse PractitionerDE
Family Practice, Geriatric MedicineNJ
Family PracticePA
Nurse PractitionerPA
Physician AssistantDE
Nurse PractitionerDE
Nurse PractitionerDE
Nurse PractitionerDE
Nurse PractitionerNY
Nurse PractitionerDE

Reviews

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Frequently asked questions

Can I cross-check JOHNITA TILLER (APRN) using NPI 1083191076?
NPI 1083191076 belongs to JOHNITA TILLER (APRN); compare other details if you need extra assurance.
Would JOHNITA TILLER (APRN) appear as active to a payer?
You can treat JOHNITA TILLER (APRN) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with JOHNITA TILLER (APRN)?
JOHNITA TILLER (APRN)'s record emphasizes Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for JOHNITA TILLER (APRN)?
Travel planning: use Middletown, Delaware as the reference point for JOHNITA TILLER (APRN), then confirm.
Does JOHNITA TILLER (APRN) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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