Chanel Tillery, DNP, APRN, FNP-C
NPI 1083463657 · Family Nurse Practitioner · Newark, NJ
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Chanel Tillery, DNP, APRN, FNP-C is a Family Nurse Practitioner provider in Newark, NJ (NPI 1083463657).
Provider details
- NPI number
- 1083463657
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- DNP, APRN, FNP-C
- Sex
- Female
- Sole proprietor
- No
- License
- 26NR20372200 (NJ)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-05-16
- Last updated
- 2024-09-19
- Certified
- 2024-09-01
Frequently asked questions
- What is Chanel Tillery's NPI number?
- Chanel Tillery's National Provider Identifier (NPI) is 1083463657, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Chanel Tillery's specialty?
- Chanel Tillery is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Chanel Tillery located?
- Chanel Tillery's practice location on file with NPPES is 150 Bergen St, Newark, NJ 07103-2496.
- What is Chanel Tillery's phone number?
- The practice phone number listed in the NPPES registry for Chanel Tillery is (973) 972-5123.
- Does Chanel Tillery accept Medicare?
- Chanel Tillery is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Chanel Tillery's NPI active?
- Yes — Chanel Tillery's NPI (1083463657) is active in the NPPES registry as of the last update on 2024-09-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.