Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shannon Tingle

Individual provider Family Nurse Practitioner · NPI 1962155994

Shannon Tingle is a Nurse Practitioner in LA Porte, Indiana. Qualified in 2021, 5 years ago. Practices with Pulaski Memorial Hospital, a 44-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
5
Licensed in
IN
In the registry since
2022

Practice location Address checks out

1331 State St
LA Porte, IN 46350-3112
Phone: (219) 326-0943
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 71012177A (IN)

Record details

NPI number1962155994
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 31, 2022
Last updated in NPPESJanuary 31, 2022
Certification dateJanuary 31, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Pulaski Memorial Hospital — 44 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in LA Porte