Lacy Rebaka Tisdale, NP-C
NPI 1033517768ActiveIndividual· Nurse Practitioner, Family· Jackson, TN
Nurse Practitioner, Family (NP-C) with Fast Pace Medical Clinic PLLC and 1 other group, practicing in Jackson, Tennessee. 61 Medicare patients in 2024, $6,575 paid; nearly all of their 169 Part D prescriptions were generic (92%). Smith+nephew, Inc. was the largest of 14 companies reporting payments in 2025, $1,163 in all, mostly food and beverage. Lists Jackson-Madison County General Hospital as a hospital affiliation.
Overview
| NPI | 1033517768 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | NP-C |
| Sole proprietor | No |
| NPI issued | Dec 11, 2014 |
| Last updated in NPPES | Apr 9, 2021 |
| Certified by provider | Mar 19, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 25492 | TN |
| Nurse Practitioner, Family | 363LF0000X | A004241 | AR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (TN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 61 |
|---|---|
| Services billed | 398 across 36 procedure codes |
| Paid by Medicare | $6,575 |
Part D prescriptions in 2024
| Prescriptions (claims) | 169 · 187 30-day fills |
|---|---|
| Patients | 82 |
| Total drug cost | $3,167 |
| Generic share | 92% of claims |
Education and affiliations
| Graduation year | 2014 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical groups
- Fast Pace Medical Clinic PLLCCollinwood, TN · 724 clinicians
- Healogics Specialty Physicians of Tennessee, PLLCJackson, TN · 14 clinicians
Hospital affiliation
- Jackson-Madison County General HospitalJackson, TN
Other facilities
- Medical Center Home Health LLCHome health agency · Jackson, TN
Industry payments (Open Payments)
- 2025$1,163 · 41 payments from 14 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Smith+nephew, Inc. | $212.23 | 6 |
| Paratek Pharmaceuticals, Inc. | $171.24 | 7 |
| Mimedx Group, Inc. | $139.89 | 11 |
| Ardelyx, Inc. | $125.00 | 1 |
| Axsome Therapeutics, Inc. | $124.73 | 1 |
What the 2025 payments were for
- Food and Beverage$1,163 · 41 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 214 family nurse practitioners in Jackson · All family nurse practitioners in Tennessee