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MRS. STEPHANIE JEAN TISDAL MSN, A-GNP-C
NPI 1477029163
Nurse Practitioner in Durham, NC

Active since October 19, 2018PECOS Enrolled
1824 HILLANDALE RD, DURHAM, NC 27705(919) 383-6107 Get Directions Write a Review

NPPES record last updated: October 19, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Stephanie Jean Tisdal Msn, A-gnp-c NPPES

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

MRS. STEPHANIE JEAN TISDAL MSN, A-GNP-C (NPI 1477029163) is an individual nurse practitioner in Durham, North Carolina, licensed in North Carolina (5011137) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Durham.

NPPES Registry Identity

NPI1477029163
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. STEPHANIE JEAN TISDALCredential: MSN, A-GNP-C
Location Address1824 HILLANDALE RDDurham, NC 27705-2650
Mailing Address8705 Brandon Station RdRaleigh, NC 27613-4307 · (479) 462-5186
Phone(919) 383-6107
Sole ProprietorNo
Enumeration DateOctober 19, 2018
✔ NPI 1477029163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NC · 5011137
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1824 HILLANDALE RD, Durham, NC 27705
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Secondary Practice Location 1

Location 1508 Fulton StDurham, NC 27705-3875 · Phone (919) 286-0411

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Stephanie Jean Tisdal Msn, A-gnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27705 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Other Providers at the Same Location NPPES 8

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

DURHAM VAMC
Clinic/Center (VA)
1824 HILLANDALE RD
DURHAM, NC 27705
Durham County (828) 257-2333
MR. MAHLON DAVID GRIMSLEY PA
Physician Assistant (Medical)
1824 HILLANDALE RD
DURHAM, NC 27705
Durham County (919) 957-7862
MRS. MELANIE ROYS
Psychologist (Clinical)
1824 HILLANDALE RD
DURHAM, NC 27705
Durham County (919) 286-0411
MR. DONALD R MURPHY JR. PAC
Family Medicine
1824 HILLANDALE RD, VAMC
DURHAM, NC 27705
Durham County (919) 383-6107
ZOEY ANN BEZANSON
Occupational Therapist
1824 HILLANDALE RD
DURHAM, NC 27705
Durham County (919) 383-6107
DR. LORI ANN ORLANDO MD MHS
Internal Medicine
1824 HILLANDALE RD
DURHAM, NC 27705
Durham County (919) 286-3399
ZACHARY ALLEN DRUM LCSWA, LCASA
Social Worker (Clinical)
1824 HILLANDALE RD
DURHAM, NC 27705
Durham County (919) 383-6107
MS. CAROL DASHNER MCMORROW PA-C
Physician Assistant
1824 HILLANDALE RD
DURHAM, NC 27705
Durham County (919) 383-6107

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephanie Tisdal's NPI number?

The NPI number for Stephanie Tisdal is 1477029163. It was assigned to this individual provider in the NPPES registry on October 19, 2018.

Where is Stephanie Tisdal located?

Stephanie Tisdal practices at 1824 Hillandale Rd, Durham, NC 27705. The listed phone number is (919) 383-6107.

What is Stephanie Tisdal's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Stephanie Tisdal enrolled in Medicare?

Yes. Stephanie Tisdal is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stephanie Tisdal was last updated on October 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.