Stephanie Tisdal, MSN, A-GNP-C
NPI 1477029163 · Nurse Practitioner · Durham, NC
Enrolled with Medicare as Order and Referring Only - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Stephanie Tisdal, MSN, A-GNP-C is a Nurse Practitioner provider in Durham, NC (NPI 1477029163).
Provider details
- NPI number
- 1477029163
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- MSN, A-GNP-C
- Sex
- Female
- Sole proprietor
- No
- License
- 5011137 (NC)
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 tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Additional practice locations (1)
- 508 Fulton StDurham, NC 27705-3875Phone: (919) 286-0411
Registry dates
- Enumerated
- 2018-10-19
- Last updated
- 2018-10-19
Frequently asked questions
- What is Stephanie Tisdal's NPI number?
- Stephanie Tisdal's National Provider Identifier (NPI) is 1477029163, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Stephanie Tisdal's specialty?
- Stephanie Tisdal is listed in the NPPES registry with a primary specialty of Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Stephanie Tisdal located?
- Stephanie Tisdal's practice location on file with NPPES is 1824 Hillandale Rd, Durham, NC 27705-2650.
- What is Stephanie Tisdal's phone number?
- The practice phone number listed in the NPPES registry for Stephanie Tisdal is (919) 383-6107.
- Does Stephanie Tisdal accept Medicare?
- Stephanie Tisdal is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Stephanie Tisdal's NPI active?
- Yes — Stephanie Tisdal's NPI (1477029163) is active in the NPPES registry as of the last update on 2018-10-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.