Individual provider Active NPI

Jennifer J Tinsley, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Dieterich, IL
National Provider Identifier
1982134557
Registry record updated Jul 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
277.005212 Issued in IL
Practice address
203 S Main St
Dieterich, IL 62424-1128
Phone
(618) 629-7565
Fax
(618) 822-4154
NPI assigned
Jun 15, 2017
Reactivated
Mar 18, 2021
Sex
Female
Sole proprietor
Yes

Organizations & group practices 10

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

Hospital & facility affiliations 1

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

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of Clay 77 clinicians

Practice addresses (Care Compare)

935 Bryant St
Louisville, IL 62858-1053
Phone (618) 662-2131

Hospital & facility affiliations

  • St Johns Hospital Hospital, Springfield, IL, CCN 140053

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20210504002187 IL Practitioner - Nurse Practitioner 1658780697 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
041.385974ILMDRegistered Nurse
209022896ILMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
County of Clay Current Accepting new patients
County of Clay CurrentSince Mar 29, 2021 Accepting new patients
Sarah Bush Lincoln Health Center CurrentSince Nov 2, 2022 Accepting new patients
County of Clay CurrentSince Mar 29, 2021 Accepting new patients
Sarah Bush Lincoln Health Center CurrentSince Nov 2, 2022 Accepting new patients
Jennifer Tinsley Pmhnp-BC, PLLC Past Accepting new patients

Locations

929 Stacey Burk Dr
Flora, IL 62839

911 Stacey Burk Dr
Flora, IL 62839
Phone (618) 662-2161

101 Professional Plz
Mattoon, IL 61938
Phone (217) 238-3730

1000 Health Center Dr
Mattoon, IL 61938
Phone (217) 258-2389

1005 Health Center Dr
Ste 201
Mattoon, IL 61938
Phone (217) 238-6055

Interoperability endpoints

  • Direct secure messaging: jennifer.tinsley@famcare.eclinicaldirectplus.com
  • Direct secure messaging: jtinsley374836@direct-ehr-ssmhc.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 277.005212 IL Primary

Addresses

NPPES NPI Registry

Primary practice location

203 S Main St
Dieterich, IL 62424-1128

Mailing address

261 Levi Rd
Louisville, IL 62858-2784
Phone (618) 335-8740

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 3, 2026.

{
    "created_epoch": "1497484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783036800000",
    "number": "1982134557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 LEVI RD",
            "city": "LOUISVILLE",
            "state": "IL",
            "postal_code": "628582784",
            "telephone_number": "618-335-8740",
            "fax_number": "618-822-4154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 S MAIN ST",
            "city": "DIETERICH",
            "state": "IL",
            "postal_code": "624241128",
            "telephone_number": "618-629-7565",
            "fax_number": "618-822-4154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TINSLEY",
        "first_name": "JENNIFER",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "APRN, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-15",
        "last_updated": "2026-07-03",
        "certification_date": "2026-07-03",
        "deactivation_date": "2021-02-01",
        "reactivation_date": "2021-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "277.005212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dieterich, IL

Sources for this page

Verify at the official NPI Registry.