Mollie Anne Tisdale, PAC
NPI 1750014296ActiveIndividual· Physician Assistant· Big Rapids, MI
Physician Assistant (PAC) with Mecosta County Medical Center, practicing in Big Rapids, Michigan. Their prescriptions cost Medicare Part D more than their services did: $6,631 for 510 claims, against $3,462 paid for services in 2024. Lists Corewell Health Big Rapids Hospital as a hospital affiliation.
Overview
| NPI | 1750014296 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PAC |
| Sole proprietor | No |
| NPI issued | Jul 1, 2022 |
| Last updated in NPPES | Jul 16, 2024 |
| Certified by provider | Jul 16, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 5601011275 | MI |
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 - Physician Assistant (MI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 48 |
|---|---|
| Services billed | 81 across 19 procedure codes |
| Paid by Medicare | $3,462 |
Part D prescriptions in 2024
| Prescriptions (claims) | 510 · 520 30-day fills |
|---|---|
| Patients | 360 |
| Total drug cost | $6,631 |
| Generic share | 93% of claims |
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Mecosta County Medical CenterBig Rapids, MI · 52 clinicians
Hospital affiliation
- Corewell Health Big Rapids HospitalBig Rapids, MI
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 20 physician assistants in Big Rapids · All physician assistants in Michigan