Lacy Tisdale, NP-C
NPI 1033517768 · Family Nurse Practitioner · Jackson, TN
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lacy Tisdale, NP-C is a Family Nurse Practitioner provider in Jackson, TN (NPI 1033517768).
Provider details
- NPI number
- 1033517768
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP-C
- Sex
- Female
- Sole proprietor
- No
- License
- A004241 (AR)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
11 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
213 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. 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.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Assessment of Emotional Or Behavioral Problems96127 | 50 | $4 |
| Detection Test By Immunoassay With Direct Visual Observation for Influenza Virus87804 | 46 | $16 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 34 | $71 |
| Detection Test By Immunoassay With Direct Visual Observation for Severe Acute Respiratory Syndrome Coronavirus 2 (covid-19)87811 | 25 | $41 |
| Injection of Drug Or Substance Under Skin Or Into Muscle96372 | 17 | $11 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 2 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Azithromycin | 12 | 12 |
| Hydrochlorothiazide | 11 | — |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Additional practice locations (1)
- 6806 Mammoth CvPine Bluff, AR 71603-4304Phone: (870) 413-2203
Registry dates
- Enumerated
- 2014-12-11
- Last updated
- 2021-04-09
- Certified
- 2021-03-19
Frequently asked questions
- What is Lacy Tisdale's NPI number?
- Lacy Tisdale's National Provider Identifier (NPI) is 1033517768, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Lacy Tisdale's specialty?
- Lacy Tisdale is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Lacy Tisdale located?
- Lacy Tisdale's practice location on file with NPPES is 2054 S Highland Ave, Jackson, TN 38301-7741.
- What is Lacy Tisdale's phone number?
- The practice phone number listed in the NPPES registry for Lacy Tisdale is (731) 499-8708.
- Does Lacy Tisdale accept Medicare?
- Lacy Tisdale is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Lacy Tisdale's NPI active?
- Yes — Lacy Tisdale's NPI (1033517768) is active in the NPPES registry as of the last update on 2021-04-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.