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
Mailing address410 W Michigan St, New Carlisle, IN 46552-8127

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