TISHA FRY NP
NPI 1851862585
Nurse Practitioner - Family in Winamac, IN

Q: What is Tisha Fry's NPI number?

The NPI number for Tisha Fry is 1851862585. It was assigned to this individual provider in the NPPES registry on December 6, 2018.

Q: What is Tisha Fry'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 Tisha Fry was last updated on December 6, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since December 06, 2018PECOS EnrolledAccepts Medicare Assignment

540 HOSPITAL DR, WINAMAC, IN 46996(574) 946-2194 Get Directions Write a Review

NPPES record last updated: December 6, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Tisha Fry Np NPPES

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

TISHA FRY NP (NPI 1851862585) is an individual family provider in Winamac, Indiana, licensed in Indiana (71008606A) and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS, is affiliated with Pulaski Memorial Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1851862585

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameTISHA FRYCredential: NP

Location Address540 HOSPITAL DRWinamac, IN 46996-1173

Mailing AddressPo Box 279Winamac, IN 46996-0279

Phone(574) 946-2194

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateDecember 6, 2018

✔ NPI 1851862585 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 · 71008606A

540 HOSPITAL DR, Winamac, IN 46996

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Other Identifiers 1

Other71008606AIN · State License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Tisha Fry Np 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 ID648515635

PECOS Enrollment IDI20181219002028

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.

Pulaski Memorial Hospital

Critical Access Hospitals · Winamac, IN

OwnershipVoluntary non-profit - Other

CMS Certification Number151305

Location616 E 13th StWinamac, IN 46996 · Pulaski County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46996 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 14

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

7 suppliers30 claims60 services$6.45 avg. paid by Medicare

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

2 suppliers12 claims12 services$46.24 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

2 suppliers11 claims52 services$25.65 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

5 suppliers20 claims20 services$68.74 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

5 suppliers12 claims12 services$21.97 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

5 suppliers19 claims114 services$2.73 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 19

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

CLINTON L. KAUFFMAN MD

Family Medicine