MRS. SHARI TILLMAN FNP-C
NPI 1568080422
Nurse Practitioner - Family in Merritt Island, FL

Q: What is Shari Tillman's NPI number?

The NPI number for Shari Tillman is 1568080422. It was assigned to this individual provider in the NPPES registry on July 8, 2020.

Q: What is Shari 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 Shari Tillman was last updated on July 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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 08, 2020PECOS EnrolledAccepts Medicare Assignment

375 S COURTENAY PKWY STE 4, MERRITT ISLAND, FL 32952(321) 544-0757(321) 338-7062 Get Directions Write a Review

NPPES record last updated: July 30, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 30, 2024, Dec 14, 2020, Jul 8, 2020 (3 updates tracked since 2020).

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About Mrs. Shari Tillman Fnp-c NPPES

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

MRS. SHARI TILLMAN FNP-C (NPI 1568080422) is an individual family provider in Merritt Island, Florida, licensed in Florida (11007581) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS, is affiliated with Holmes Regional Medical Center, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1568080422

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. SHARI TILLMANCredential: FNP-C

Location Address375 S COURTENAY PKWY STE 4Merritt Island, FL 32952-4868

Mailing Address375 S Courtenay Pkwy Ste 4Merritt Island, FL 32952-4868 · (321) 544-0757 · Fax (321) 338-7062

Phone(321) 544-0757

Fax(321) 338-7062

Sole ProprietorYes

Medical School CMSOtherGraduated 2017

Enumeration DateJuly 8, 2020

Last NPPES UpdateJuly 30, 20243 updates tracked since enumeration

NPPES CertifiedJuly 30, 2024

✔ NPI 1568080422 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

License✔ Licensed in FL · 11007581

375 S COURTENAY PKWY STE 4, Merritt Island, FL 32952

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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

Mrs. Shari Tillman Fnp-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 ID143634725

PECOS Enrollment IDI20210121001766

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.

Holmes Regional Medical Center

Acute Care Hospitals · Melbourne, FL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100019

Location1350 S Hickory StMelbourne, FL 32901 · Brevard County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32952 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shari Tillman's NPI number?

The NPI number for Shari Tillman is 1568080422. It was assigned to this individual provider in the NPPES registry on July 8, 2020.

Where is Shari Tillman located?

Shari Tillman practices at 375 S Courtenay Pkwy Ste 4, Merritt Island, FL 32952. The listed phone number is (321) 544-0757.

What is Shari Tillman's specialty?

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

Is Shari Tillman enrolled in Medicare?

Yes. Shari Tillman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Shari Tillman affiliated with any hospitals?

According to CMS data, Shari Tillman is affiliated with Holmes Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Shari Tillman was last updated on July 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.