Macy Tillman, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

53-84535-072 Issued in KS

Practice address

203 Watson St Ste 200
Pratt, KS 67124-3092

Phone

(620) 672-7422

Fax

(855) 884-8184

NPI assigned

Jul 10, 2025

Last updated

Jul 22, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pratt Family Practice LLCGroup PAC ID 6709824535, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Pratt Regional Medical Center Hospital, Pratt, KS, CCN 170027
• Stafford County Hospital Hospital, Stafford, KS, CCN 171323

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pratt Family Practice LLC

  dba Pratt Family Practice

  • Rural Health Clinic/Center
  • Pratt, KS
  • NPI 1740233204
  Medicare reassignment Care Compare group NPD
• Pratt Family Practice LLC

  dba Pratt Family Practice

  • Rural Health Clinic/Center
  • Pratt, KS
  • NPI 1346379625
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Pratt Regional Medical Center Corporation

  dba Pratt Regional Medical Center

  • Rural Acute Care Hospital
  • Pratt, KS
  • NPI 1578596904
  Care Compare affiliation
• Stafford County Hospital

  • Critical Access Hospital
  • Stafford, KS
  • NPI 1295840999
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1752105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1316838204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 308",
            "city": "PRATT",
            "state": "KS",
            "postal_code": "671240308",
            "telephone_number": "620-672-7422",
            "fax_number": "855-884-8184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 WATSON ST STE 200",
            "city": "PRATT",
            "state": "KS",
            "postal_code": "671243092",
            "telephone_number": "620-672-7422",
            "fax_number": "855-884-8184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILLMAN",
        "first_name": "MACY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-10",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-84535-072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kim Renee Talsma, RPH
• Lyndel Mae Theis, APRN, FNP-C
• Therapy Plus LLC
• Seth Alan Thibault, OD
• Jamie Sue Thimesch, NP-C
• Christa Janelle Titus, DNP, FNP-C
• Toetal Care LLC
• Total Renal Care Inc (Pratt Dialysis Center)
• Hannah Vogt
• Amanda Wade, LPC

• Family Nurse Practitioner in Pratt, KS
• Providers in Pratt, KS by specialty
• Family Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.