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
Mailing address1650 Midtown Rd, Peru, IL 61354-1200

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