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Jennifer Nicole Tisdale, PA-C

NPI 1154814697ActiveIndividual· Nurse Practitioner· Norfolk, VA

Nurse Practitioner (PA-C) in Norfolk, Virginia, trained at Eastern Virginia Medical School (class of 2018). Their prescriptions cost Medicare Part D more than their services did: $370,052 for 4,166 claims, against $33,522 paid for services in 2024.

Overview

NPI1154814697
StatusActive
Entity typeIndividual
CredentialPA-C
Sole proprietorNo
NPI issuedJun 9, 2018
Last updated in NPPESOct 3, 2024
Certified by providerOct 3, 2024

Specialties and licenses

TaxonomyCodeLicenseState
Nurse Practitioner Primary363L00000X0110006241VA
Physician Assistant363A00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physician Assistant (VA)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients204
Services billed599 across 34 procedure codes
Paid by Medicare$33,522

Part D prescriptions in 2024

Prescriptions (claims)4,166 · 9,338 30-day fills
Patients430
Total drug cost$370,052
Generic share86% of claims

Medicare sources and data years

Education and affiliations

Medical schoolEastern Virginia Medical School
Graduation year2018
Medicare specialtyPhysician Assistant
TelehealthOffers telehealth

Medical group

Hospital affiliations

Other facilities

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other nurse practitioners in Norfolk

All 76 nurse practitioners in Norfolk · All nurse practitioners in Virginia