ERIN TISDALE PA-C
NPI 1114391000
Physician Assistant in Phoenix, AZ

Active since November 16, 2015PECOS EnrolledAccepts Medicare Assignment
2525 E ROOSEVELT ST, PHOENIX, AZ 85008(602) 344-1015 Get Directions Write a Review

NPPES record last updated: May 15, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 15, 2019, May 2, 2019, Jan 26, 2017 and 1 more (4 updates tracked since 2015).

About Erin Tisdale Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ERIN TISDALE PA-C (NPI 1114391000) is an individual physician assistant in Phoenix, Arizona, licensed in Arizona (6982) and active in the NPI registry since November 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1114391000
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameERIN TISDALECredential: PA-C
Location Address2525 E ROOSEVELT STPhoenix, AZ 85008-4948
Mailing Address2929 E Thomas RdPhoenix, AZ 85016-8034
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateNovember 16, 2015
Last NPPES UpdateMay 15, 20194 updates tracked since enumeration
NPI 1114391000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in AZ · 6982 Licensed · PA10269
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

2525 E ROOSEVELT ST, Phoenix, AZ 85008

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Erin Tisdale Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9537460761
PECOS Enrollment IDI20190531001963
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
46 services33 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85008 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Hematology & Oncology)
2525 E ROOSEVELT ST
PHOENIX, AZ 85008
Obstetrics & Gynecology
2525 E ROOSEVELT ST
PHOENIX, AZ 85008
Pediatrics
2525 E ROOSEVELT ST
PHOENIX, AZ 85008
Pediatrics
2525 E ROOSEVELT ST
PHOENIX, AZ 85008
Otolaryngology
2525 E ROOSEVELT ST
PHOENIX, AZ 85008
Physician Assistant
2525 E ROOSEVELT ST
PHOENIX, AZ 85008
Internal Medicine
2525 E ROOSEVELT ST, INTERNAL MEDICINE CLINIC
PHOENIX, AZ 85008
Obstetrics & Gynecology
2525 E ROOSEVELT ST
PHOENIX, AZ 85008

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114391000, enumerated as an "individual" on November 16, 2015.

The provider is located at 2525 E ROOSEVELT ST PHOENIX, AZ 85008 and the phone number is (602) 344-1015.

Physician Assistant with taxonomy code 363A00000X.

The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Antidote. Please consult your insurance carrier or call the provider to verify.