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

MS. Shona Monic Tillis, AGACNP

Individual provider Acute Care Nurse Practitioner · NPI 1770228330

MS. Shona Monic Tillis, AGACNP is a Nurse Practitioner in Springdale, Arkansas. Qualified in 2020, 6 years ago. Practices with Sebastian Physician Services, PLLC, a 41-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arkansas and Mississippi.

Years since qualifying
6
Licensed in
AR, MS
In the registry since
2022
Specialties on file
2

Practice location Address checks out

609 W Maple Ave
Springdale, AR 72764-5335
Phone: (579) 751-5711
Show map & directions

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

Additional practice locations (1)

  • 1718 W Sudan Cir, Greenville, MS 38701-7548 — (662) 822-2169

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 226060 (AR)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 905185 (MS)

Record details

NPI number1770228330
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP
Sole proprietorNo
NPI enumeratedApril 28, 2022
Last updated in NPPESFebruary 14, 2025
Certification dateFebruary 14, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Sebastian Physician Services, Pllc — 41 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Springdale