TISA REID APRN
NPI 1164031894
Nurse Practitioner - Family in Jacksonville, FL

Q: What is Tisa Reid's NPI number?

The NPI number for Tisa Reid is 1164031894. It was assigned to this individual provider in the NPPES registry on July 28, 2020.

Q: What is Tisa Reid's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Tisa Reid was last updated on November 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 28, 2020PECOS EnrolledAccepts Medicare Assignment

81.9/100

CMS Quality Rating

7751 BAYMEADOWS RD E STE H, JACKSONVILLE, FL 32256(904) 425-6963(904) 674-0155 Get Directions Write a Review

NPPES record last updated: November 11, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 11, 2025, Jan 23, 2022, Jul 28, 2020 (3 updates tracked since 2020).

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About Tisa Reid Aprn NPPES

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

TISA REID APRN (NPI 1164031894) is an individual family provider in Jacksonville, Florida, licensed in Florida (11008385) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS, is affiliated with Baptist Medical Center Beaches, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1164031894

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameTISA REIDCredential: APRN

Location Address7751 BAYMEADOWS RD E STE HJacksonville, FL 32256-5836

Mailing Address2675 Winkler Ave Ste 200Fort Myers, FL 33901-9328 · (877) 856-3774 · Fax (239) 599-2612

Phone(904) 425-6963

Fax(904) 674-0155

Sole ProprietorYes

Medical School CMSOtherGraduated 2020

Enumeration DateJuly 28, 2020

Last NPPES UpdateNovember 11, 20253 updates tracked since enumeration

NPPES CertifiedNovember 11, 2025

✔ NPI 1164031894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in FL · 11008385

7751 BAYMEADOWS RD E STE H, Jacksonville, FL 32256

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tisa Reid Aprn 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 ID1456740638

PECOS Enrollment IDI20211109001353

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.

Medicare Billing Reassignments

Medicare enrollment records show Tisa Reid reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Florida Jacksonville Physicians, Inc.

9.4 mi

Family Medicine

5460 BLANDING BLVD STE 3, UFJP ANCHOR PLAZA
Jacksonville, FL 32244

Reassigned Medicare billing, Florida enrollment
Also billed through NPI 1487814752 (Florida)
573 clinicians in this Medicare group

NPI 1235398983 (904) 633-0610

Coastal Community Health Services, Inc.

28 mi

Federally Qualified Health Center (FQHC)

22385 FLORA PARK CROSSING DRIVE
Fernandina Beach, FL 32034

Reassigned Medicare billing, Florida enrollment
93 clinicians in this Medicare group

NPI 1851131874 (904) 404-8641

Millennium Physician Group LLC

253 mi

Family Medicine

6321 DANIELS PKWY
Fort Myers, FL 33912

Reassigned Medicare billing, Florida enrollment
1,278 clinicians in this Medicare group

NPI 1811122880 (877) 856-3774

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the 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.

26 services20 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

14 services14 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baptist Medical Center Beaches

Acute Care Hospitals · Jacksonville Beach, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100117

Location1350 13th Ave SJacksonville Beach, FL 32250 · Duval County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32256 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.9/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

72.43

Promoting Interoperability

100

Improvement Activities

Cost

59.59

Other Providers at the Same Location NPPES 10

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

KATHRYN GOODSON

Nurse Practitioner (Family)