JENNIFER JOAN TILLMAN NP-C
NPI 1134536840
Nurse Practitioner - Family in Perrysburg, OH

Q: What is Jennifer Tillman's NPI number?

The NPI number for Jennifer Tillman is 1134536840. It was assigned to this individual provider in the NPPES registry on July 14, 2014.

Q: What is Jennifer Tillman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Tillman was last updated on April 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 14, 2014PECOS EnrolledAccepts Medicare Assignment

30000 E RIVER RD, PERRYSBURG, OH 43551(419) 931-3440(419) 661-4020 Get Directions Write a Review

NPPES record last updated: April 2, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 2, 2025, Mar 28, 2025, Jun 18, 2024 and 1 more (4 updates tracked since 2023).

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About Jennifer Joan Tillman Np-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER JOAN TILLMAN NP-C (NPI 1134536840) is an individual family provider in Perrysburg, Ohio, licensed in Ohio (15986) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS, is affiliated with Promedica Toledo Hospital, and maintains a secondary practice location in Maumee.

NPPES Registry Identity

NPI1134536840

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJENNIFER JOAN TILLMANCredential: NP-C

Location Address30000 E RIVER RDPerrysburg, OH 43551-3429

Mailing Address801 Rosehill RdJackson, MI 49202-1762 · (517) 212-2008 · Fax (517) 212-9023

Phone(419) 931-3440

Fax(419) 661-4020

Sole ProprietorNo

Medical School CMSUniversity Of Toledo College Of MedicineGraduated 2014

Enumeration DateJuly 14, 2014

Last NPPES UpdateApril 2, 20254 updates tracked since enumeration

NPPES CertifiedApril 2, 2025

✔ NPI 1134536840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in OH · 15986✔ Licensed in OH · APRN.CNP.15986

30000 E RIVER RD, Perrysburg, OH 43551

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Secondary Practice Location 1

Location 13550 Briarfield Blvd, Suite 300Maumee, OH 43537-9184 · Phone (419) 452-2140 · Fax (419) 873-6327

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Priority Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jennifer Joan Tillman Np-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID446472377

PECOS Enrollment IDI20141110001581, I20260106001309

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Promedica Toledo Hospital

Acute Care Hospitals · Toledo, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360068

Location2142 North Cove BoulevardToledo, OH 43606 · Lucas County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43551 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELIZABETH L. MILLER LSW

Social Worker (Clinical)