Active NPI
Jennifer J Tinsley, APRN, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Dieterich, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 277.005212
- 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.
-
- Critical Access Hospital
- Flora, IL
- NPI 1184655136
-
- Community/Retail Pharmacy
- Flora, IL
- NPI 1235990276
-
- Rural Health Clinic/Center
- Effingham, IL
- NPI 1649255266
IL
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Dieterich, IL
- NPI 1790602225
-
- Medicare Defined Swing Bed Hospital Unit
- Flora, IL
- NPI 1336345578
-
- Rural Health Clinic/Center
- Louisville, IL
- NPI 1831120401
-
- Rural Health Clinic/Center
- Clay City, IL
- NPI 1871950550
-
- Rural Health Clinic/Center
- Greenville, IL
- NPI 1811858970
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Springfield, IL
- NPI 1205818481
Hospital
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
Practice addresses (Care Compare)
935 Bryant St
Louisville, IL 62858-1053
Phone (618) 662-2131
Hospital & facility affiliations
- St Johns Hospital
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210504002187 | IL | Practitioner - Nurse Practitioner | 1658780697 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041.385974 | IL | MD | Registered Nurse |
| 209022896 | IL | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Clay | Current | Accepting new patients | |
| County of Clay | Current | Accepting new patients | |
| Sarah Bush Lincoln Health Center | Current | Accepting new patients | |
| County of Clay | Current | Accepting new patients | |
| Sarah Bush Lincoln Health Center | Current | 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
- jennifer.tinsley@famcare.eclinicaldirectplus.com
- jtinsley374836@direct-ehr-ssmhc.com
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 277.005212 | IL | Primary |
Addresses
NPPES NPI RegistryPrimary 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2026; 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.