Shannon Tisdell, FNP
NPI 1790384329ActiveIndividual· Nurse Practitioner, Family· Olive Branch, MS
Nurse Practitioner, Family (FNP) with Ut Regional One Physicians Inc, practicing in Olive Branch, Mississippi. Mostly services rather than prescriptions: Medicare paid $3,548 for 21 patients in 2024, with only 14 Part D claims. Polynovo North America LLC was the largest of 5 companies reporting payments in 2025, $1,265 in all, mostly food and beverage. Lists Regional One Health as a hospital affiliation.
Overview
| NPI | 1790384329 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | FNP |
| Sole proprietor | No |
| NPI issued | Oct 24, 2020 |
| Last updated in NPPES | Oct 24, 2020 |
| Certified by provider | Oct 24, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 904149 | MS |
| Nurse Practitioner, Family | 363LF0000X | 27722 | TN |
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 (MS); Practitioner - Nurse Practitioner (TN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 21 |
|---|---|
| Services billed | 59 across 13 procedure codes |
| Paid by Medicare | $3,548 |
Part D prescriptions in 2024
| Prescriptions (claims) | 14 · 19 30-day fills |
|---|---|
| Total drug cost | $183.13 |
| Generic share | 79% of claims |
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Ut Regional One Physicians IncMemphis, TN · 324 clinicians
Hospital affiliation
- Regional One HealthMemphis, TN
Industry payments (Open Payments)
- 2025$1,265 · 25 payments from 5 companies
- 2024$1,050 · 24 payments from 7 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Polynovo North America LLC | $1,122 | 18 |
| Merck Sharp & Dohme LLC | $73.94 | 3 |
| Medline Industries LP | $32.99 | 2 |
| Reprise Biomedical, Inc. | $19.39 | 1 |
| Smith+nephew, Inc. | $16.40 | 1 |
What the 2025 payments were for
- Food and Beverage$1,265 · 25 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 48 family nurse practitioners in Olive Branch · All family nurse practitioners in Mississippi