1. Home
  2. Directory
  3. Indiana
  4. Peru
  5. Nurse Practitioner
  6. NPI Profile

CONNIE JO TISHNER FNP- C
NPI 1629623392
Nurse Practitioner - Family in Peru, IN

Active since August 08, 2019PECOS Enrolled
317 BLAIR PIKE, PERU, IN 46970(765) 480-9525 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, Jan 24, 2023, Aug 8, 2019 (3 updates tracked since 2019).

About Connie Jo Tishner Fnp- C NPPES

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

CONNIE JO TISHNER FNP- C (NPI 1629623392) is an individual family provider in Peru, Indiana, licensed in Indiana (71009219A) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629623392
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCONNIE JO TISHNERCredential: FNP- C
Location Address317 BLAIR PIKEPeru, IN 46970-1507
Mailing Address317 Blair PikePeru, IN 46970-1507 · (765) 480-9525 · Fax (765) 487-5361
Phone(765) 480-9525
Sole ProprietorNo
Enumeration DateAugust 8, 2019
Last NPPES UpdateApril 2, 20253 updates tracked since enumeration
NPPES CertifiedApril 2, 2025
✔ NPI 1629623392 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 IN · 71009219A
317 BLAIR PIKE, Peru, IN 46970
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Connie Jo Tishner Fnp- C is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46970 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers20 claims35 services$6.12 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers21 claims21 services$8.42 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

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

MATTIE L LAWSON
Physical Therapy Assistant
317 BLAIR PIKE
PERU, IN 46970
Miami County (765) 473-4426
JOHNSON MEMORIAL HOSPITAL
Skilled Nursing Facility
317 BLAIR PIKE
PERU, IN 46970
Miami County (765) 473-4426
THE WATERS OF PERU SKILLED NURSING CENTER LLC
Skilled Nursing Facility
317 BLAIR PIKE
PERU, IN 46970
Miami County (765) 473-4426
MRS. GEORGIA SUE MCQUINN RN
Registered Nurse (Infection Control)
317 BLAIR PIKE
PERU, IN 46970
Miami County (765) 473-4426
DEBRA LYNN TURNER COTA
Occupational Therapy Assistant
317 BLAIR PIKE
PERU, IN 46970
Miami County (765) 473-4426

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 Connie Tishner's NPI number?

The NPI number for Connie Tishner is 1629623392. It was assigned to this individual provider in the NPPES registry on August 8, 2019.

Where is Connie Tishner located?

Connie Tishner practices at 317 Blair Pike, Peru, IN 46970. The listed phone number is (765) 480-9525.

What is Connie Tishner's specialty?

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

Is Connie Tishner enrolled in Medicare?

Yes. Connie Tishner is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Connie Tishner 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.