Donald Tisdale, NP
NPI 1174006522 · Family Nurse Practitioner · Flowood, MS
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Donald Tisdale, NP is a Family Nurse Practitioner provider in Flowood, MS (NPI 1174006522).
Provider details
- NPI number
- 1174006522
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Male
- Sole proprietor
- Yes
- License
- 902899 (MS)
Specialties & taxonomies
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
7 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
1,434 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) |
|---|---|---|
| Residence Visit for Established Patient With High Level of Medical Decision Making, Per Day, If Using Time, at Least 60 Minutes99350 | 576 | $145 |
| Residence Visit for Established Patient With Moderate Level of Medical Decision Making, Per Day, If Using Time, at Least 40 Minutes99349 | 204 | $99 |
| Administration of Influenza Virus VaccineG0008 | 191 | $29 |
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 133 | $9 |
| Physician Or Allowed Practitioner Supervision of a Patient Receiving Medicare-Covered Services Provided By a Participating Home Health Agency (patient Not Present) Requiring Complex and Multidisciplinary Care Modalities Involving Regular Physician Or AllowG0181 | 69 | $81 |
| Residence Visit for New Patient With High Level of Medical Decision Making, Per Day, If Using Time, at Least 75 Minutes |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 109 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Levothyroxine Sodium | 199 | 42 |
| Atorvastatin Calcium | 167 | 43 |
| Furosemide | 161 | 53 |
| Amlodipine Besylate | 144 | 41 |
| Gabapentin | 120 | 33 |
| Apixabanbrand: Eliquis | 115 | 27 |
| Pantoprazole Sodium |
Practice location
Mailing address
Additional practice locations (1)
- 1227 N State St Ste 101Jackson, MS 39202-2002Phone: (601) 355-2485
Registry dates
- Enumerated
- 2018-09-12
- Last updated
- 2021-05-26
- Certified
- 2021-05-26
Frequently asked questions
- What is Donald Tisdale's NPI number?
- Donald Tisdale's National Provider Identifier (NPI) is 1174006522, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Donald Tisdale's specialty?
- Donald Tisdale is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Donald Tisdale located?
- Donald Tisdale's practice location on file with NPPES is 10 Canebrake Blvd Ste 110-09, Flowood, MS 39232-2211.
- What is Donald Tisdale's phone number?
- The practice phone number listed in the NPPES registry for Donald Tisdale is (769) 333-8808.
- Does Donald Tisdale accept Medicare?
- Donald Tisdale is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Donald Tisdale's NPI active?
- Yes — Donald Tisdale's NPI (1174006522) is active in the NPPES registry as of the last update on 2021-05-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.