MS. SHONA MONIC TILLIS AGACNP
NPI 1770228330
Nurse Practitioner in Springdale, AR
About Ms. Shona Monic Tillis Agacnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. SHONA MONIC TILLIS AGACNP (NPI 1770228330) is an individual nurse practitioner in Springdale, Arkansas, licensed in Arkansas (226060) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Greenville, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted 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
Ms. Shona Monic Tillis Agacnp 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 72764 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SPRINGDALE, AR 72764
SPRINGDALE, AR 72764
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 Shona Tillis's NPI number?
The NPI number for Shona Tillis is 1770228330. It was assigned to this individual provider in the NPPES registry on April 28, 2022.
Where is Shona Tillis located?
Shona Tillis practices at 609 W Maple Ave, Springdale, AR 72764. The listed phone number is (579) 751-5711.
What is Shona Tillis's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Shona Tillis enrolled in Medicare?
Yes. Shona Tillis 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.
What insurance does Shona Tillis accept?
Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage, Molina Healthcare and Octave list Shona Tillis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Shona Tillis was last updated on February 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Ms. Shona Monic Tillis, AGACNP · NPI 1770228330
Nurse Practitioner physician in Springdale, Arkansas. Individual provider, active in the CMS NPPES registry since April 28, 2022.
## Identity
- **NPI:** 1770228330 (Entity type: Individual)
- **Enumerated:** April 28, 2022
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 226060 (Arkansas)
- **Sole proprietor:** No
## Practice location
- **Address:** 609 W MAPLE AVE, Springdale, AR 72764-5335
- **Phone:** (579) 751-5711
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** February 14, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1770228330) · Data from the CMS NPPES public registry.