Individual provider Active NPI

Elizabeth Sharis Tinsman

  • Physician Assistant
  • Davenport, IA
National Provider Identifier
1336988542
Registry record updated Feb 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
136913 Issued in IA
Practice address
3385 Dexter CT Ste 100
Davenport, IA 52807-3471
Phone
(563) 324-3818
Fax
(563) 326-4280
NPI assigned
May 20, 2024
Last updated
Feb 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 136913 IA Primary

Addresses

Primary practice location

3385 Dexter CT Ste 100
Davenport, IA 52807-3471

Mailing address

3385 Dexter CT Ste 100
Davenport, IA 52807-3471
Phone (563) 324-3818

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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

Enrollment IDStateProvider typePAC IDDetails
I20260219003030 IA Practitioner - Physician Assistant 4284115098 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

11764 Marco Beach Dr
Suite 9a
Jacksonville, FL 32224-5660

3385 Dexter CT
Suite 100
Davenport, IA 52807-3471

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
136913IAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Vascular Institute of the Midwest PC CurrentSince Feb 1, 2026 Accepting new patients

Locations

3001 Palm Harbor Blvd
Ste A
Palm Harbor, FL 34683

3385 Dexter Ct
Ste 100
Davenport, IA 52807
Phone (563) 324-3818

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1716163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771286400000",
    "number": "1336988542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3385 DEXTER CT STE 100",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528073471",
            "telephone_number": "563-324-3818",
            "fax_number": "563-326-4280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3385 DEXTER CT STE 100",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528073471",
            "telephone_number": "563-324-3818",
            "fax_number": "563-326-4280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TINSMAN",
        "first_name": "ELIZABETH",
        "middle_name": "SHARIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-20",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "136913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, IA

Sources for this page

Verify at the official NPI Registry.