MR. JIMMY LEE TISDALE APRN, FNP-C
NPI 1477992253
Nurse Practitioner - Family in Oklahoma City, OK
About Mr. Jimmy Lee Tisdale Aprn, Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. JIMMY LEE TISDALE APRN, FNP-C (NPI 1477992253) is an individual family provider in Oklahoma City, Oklahoma, licensed in Oklahoma (R80659) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, is affiliated with Integris Baptist Medical Center, Inc, and is a graduate of Other (2013).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
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
Mr. Jimmy Lee Tisdale Aprn, Fnp-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.
Areas of Expertise CMS Part B claims 6
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Integris Baptist Medical Center, Inc
Acute Care Hospitals · Oklahoma City, OKPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 73132 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
OKLAHOMA CITY, OK 73132
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 Jimmy Tisdale's NPI number?
The NPI number for Jimmy Tisdale is 1477992253. It was assigned to this individual provider in the NPPES registry on June 14, 2013.
Where is Jimmy Tisdale located?
Jimmy Tisdale practices at 7117 W Wilshire Blvd, Oklahoma City, OK 73132. The listed phone number is (405) 470-1224.
What is Jimmy Tisdale's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jimmy Tisdale enrolled in Medicare?
Yes. Jimmy Tisdale is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Jimmy Tisdale accept?
Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Jimmy Tisdale as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Jimmy Tisdale affiliated with any hospitals?
According to CMS data, Jimmy Tisdale is affiliated with Integris Baptist Medical Center, Inc.
When was this NPI record last updated?
The NPPES record for Jimmy Tisdale was last updated on July 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.