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

Tiffany Ann Shinnick

Individual provider Family Nurse Practitioner · NPI 1003388463

Tiffany Ann Shinnick is a Nurse Practitioner in Peru, Illinois. Qualified in 2018, 8 years ago. Practices with Mendota Community Hospital, a 51-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
8
Licensed in
IL
In the registry since
2018

Practice location Address checks out

1650 Midtown Rd
Peru, IL 61354-1200
Phone: (815) 220-2645
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 209018490 (IL)

Record details

NPI number1003388463
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 26, 2018
Last updated in NPPESDecember 26, 2018

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Mendota Community Hospital — 51 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Peru