ANGELA SIMS TISDALE ARNP
NPI 1508371014
Nurse Practitioner - Adult Health in New Port Richey, FL

Q: What is Angela Tisdale's NPI number?

The NPI number for Angela Tisdale is 1508371014. It was assigned to this individual provider in the NPPES registry on December 6, 2017.

Q: What is Angela Tisdale's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Angela Tisdale was last updated on March 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since December 06, 2017PECOS EnrolledAccepts Medicare Assignment

86.02/100

CMS Quality Rating

6804 CECELIA DR, NEW PORT RICHEY, FL 34653(855) 232-0644(888) 546-0488 Get Directions Write a Review

NPPES record last updated: March 4, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 4, 2022, Dec 6, 2017 (2 updates tracked since 2017).

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About Angela Sims Tisdale Arnp NPPES

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

ANGELA SIMS TISDALE ARNP (NPI 1508371014) is an individual adult health provider in New Port Richey, Florida, licensed in Florida (9464937) and active in the NPI registry since December 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Riverview, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1508371014

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameANGELA SIMS TISDALECredential: ARNP

Location Address6804 CECELIA DRNew Port Richey, FL 34653-4935

Mailing Address6804 Cecelia DrNew Port Richey, FL 34653-4935 · (855) 232-0644 · Fax (888) 546-0488

Phone(855) 232-0644

Fax(888) 546-0488

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateDecember 6, 2017

Last NPPES UpdateMarch 4, 20222 updates tracked since enumeration

NPPES CertifiedMarch 4, 2022

✔ NPI 1508371014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in FL · 9464937

Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 9464937 (FL)

6804 CECELIA DR, New Port Richey, FL 34653

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Secondary Practice Location 1

Location 110203 Majestic Palm Cir Apt 102Riverview, FL 33578-9440 · Phone (251) 455-4464

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.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

Angela Sims Tisdale Arnp 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 ID2466507363

PECOS Enrollment IDI20180221002763

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 34653 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.

86.02/100

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

Scored as part of a group practice

Quality

60.41

Promoting Interoperability

Improvement Activities

Reported Quality Measures

Pneumococcal Vaccination Status for Older Adults

Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine

100%55 patients5/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

100%44 patients5/55-star benchmark: 100%

Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older

Percentage of female patients aged 65 years and older who were assessed for the presence or absence of urinary incontinence within 12 months

100%55 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 18

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034

Other-Enteral and Parenteral · category OB006N

3 suppliers38 claims1,094 services$2.78 avg. paid by Medicare

Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150

Other-Enteral and Parenteral · category OB006N

2 suppliers11 claims3,933 services$0.34 avg. paid by Medicare

Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152

Other-Enteral and Parenteral · category OB006N

2 suppliers18 claims6,983 services$0.28 avg. paid by Medicare

Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4154

Other-Enteral and Parenteral · category OB006N

2 suppliers20 claims8,934 services$0.59 avg. paid by Medicare

Hospital bed, variable height, hi-lo, with any type side rails, without mattress E0256

DME-Hospital Beds · category DB000N

1 supplier37 claims37 services$39.19 avg. paid by Medicare

Powered pressure-reducing air mattress E0277

DME-Hospital Beds · category DB000N

1 supplier11 claims11 services$155.17 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers24 claims24 services$14.87 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

2 suppliers11 claims11 services$25.08 avg. paid by Medicare

Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630

DME-Other DME · category DE000N

2 suppliers34 claims34 services$38.72 avg. paid by Medicare

Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each E0955

DME-Wheelchairs · category DD021N

2 suppliers33 claims33 services$12.18 avg. paid by Medicare

Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory E1028

DME-Wheelchairs · category DD021N

2 suppliers36 claims53 services$12.26 avg. paid by Medicare

Manual adult size wheelchair, includes tilt in space E1161

DME-Wheelchairs · category DD000N

2 suppliers33 claims33 services$190.33 avg. paid by Medicare

Wheelchair accessory, manual semi-reclining back, (recline greater than 15 degrees, but less than 80 degrees), each E1225

DME-Wheelchairs · category DD021N

2 suppliers33 claims33 services$29.84 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

5 suppliers51 claims51 services$63.95 avg. paid by Medicare

Lightweight wheelchair K0003

DME-Wheelchairs · category DD000N

2 suppliers18 claims18 services$28.21 avg. paid by Medicare

Elevating leg rests, pair (for use with capped rental wheelchair base) K0195

DME-Wheelchairs · category DD021N

1 supplier52 claims52 services$10.50 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

2 suppliers36 claims36 services$192.48 avg. paid by Medicare

Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds K0823

DME-Wheelchairs · category DD009N

1 supplier17 claims17 services$169.94 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

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