JENNIFER JOAN TILLMAN (NP-C) – Family Nurse Practitioner, NPI 1134536840

JENNIFER JOAN TILLMAN (NP-C) is a healthcare provider. based in Jackson, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials NP-C. They hold a License No. APRN.CNP.15986 (OH). The NPI Number for JENNIFER JOAN TILLMAN (NP-C) is 1134536840

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER JOAN TILLMAN (NP-C)
NPI
1134536840
Phone
(517) 212-2008
Address
801 ROSEHILL RD
Enumeration Date
14 July 2014
Last Update Date
2 April 2025

Doctor Profile

Medical School Name
UNIVERSITY OF TOLEDO COLLEGE OF MEDICINE
Secondary Phone
4196615110
Graduation Year
2014 (12 years ago)
PAC ID
0446472377
Group Practice PAC ID
8527150721
Professional Enrollment ID
I20141110001581
Address ID
OH435513429PE30000RDXX400
Telehealth
Yes

Contacts

Secure Messaging
jtillman13227@epicdirect.promedica.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness85
Years active:11State licenses:2Other namesUpdated within 12 months

14,984 NURSE PRACTITIONER in OH

Provider Addresses for JENNIFER JOAN TILLMAN (NP-C)

  • 801 ROSEHILL RD

    JACKSON, MI 492021762

    Phone: (517) 212-2008

    Fax: (517) 212-9023

    Type: Mailing

  • 4043 CLEGG RD

    LAMBERTVILLE, MI 481449373

    Phone: (419) 266-7729

    Type: Mailing

  • 2121 HUGHES DR

    SUITE 830

    TOLEDO, OH 436063845

    Phone: (419) 291-1743

    Type: Location

  • 3550 Briarfield Blvd

    Suite 300

    Maumee, OH 435379184

    Phone: (419) 452-2140

    Fax: (419) 873-6327

    Type: Location

  • 30000 E RIVER RD

    PERRYSBURG, OH 435513429

    Phone: (419) 931-3440

    Fax: (419) 661-4020

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 60 Open Payments records for all available years, with a total value of $1,383.

Total Amount is formed as General ($1,383) + Research ($0) + Ownership ($0) = $1,383.

Last reported payment date: 2024-12-01 • Largest payer in this snapshot: ABBVIE INC. ($580).

Total Amount

$1,383

General + Research + Ownership

Payments

60

Total payment records

General Amount

$1,383

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-01

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2026-01-06

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
I20141110001581INurse PractitionerOHTBD
I20260106001309INurse PractitionerMITBD

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 minutes9587$0
99215Established patient office or other outpatient visit, 40-54 minutes9579$0
99204New patient office or other outpatient visit, 45-59 minutes2222$0
View full utilization report →

Insurance plans in this area (ZIP 49202)

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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: 8527150721View full group profile
NameSpecialtyState
Nurse PractitionerMI
Pulmonary Disease, Internal MedicineOH
Internal Medicine, Internal Medicine, HospitalistOH
Nurse PractitionerMI
Clinical Social WorkerOH
Nurse PractitionerOH
Nurse PractitionerMI
Internal MedicineOH
Hospice/Palliative Care, Internal MedicineOH
Nurse PractitionerMI

Reviews

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Frequently asked questions

What number should I use to identify JENNIFER JOAN TILLMAN (NP-C) for billing?
Administrative and clinical systems typically use NPI 1134536840 for JENNIFER JOAN TILLMAN (NP-C).
Is JENNIFER JOAN TILLMAN (NP-C)'s NPI status active today?
Active status means JENNIFER JOAN TILLMAN (NP-C)'s NPI record is not deactivated in the public file.
What type of care does JENNIFER JOAN TILLMAN (NP-C) provide?
JENNIFER JOAN TILLMAN (NP-C)'s profile centers on Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to JENNIFER JOAN TILLMAN (NP-C)?
JENNIFER JOAN TILLMAN (NP-C) is associated with Jackson, Michigan in the same public data insurers reference.
Who maintains JENNIFER JOAN TILLMAN (NP-C)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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