ZACHARY TISDALE
NPI 1730048794
Nurse Practitioner in De Kalb, MS
About Zachary Tisdale NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ZACHARY TISDALE (NPI 1730048794) is an individual nurse practitioner in De Kalb, Mississippi, licensed in Mississippi (907900) and active in the NPI registry since January 2026. He is enrolled in Medicare PECOS, is affiliated with Ochsner Rush Hospital, and maintains a secondary practice location in Meridian.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Zachary Tisdale 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ochsner Rush Hospital
Acute Care Hospitals · Meridian, MSOchsner Laird Hospital
Critical Access Hospitals · Union, MSPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 39328 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 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Zachary Tisdale's NPI number?
The NPI number for Zachary Tisdale is 1730048794. It was assigned to this individual provider in the NPPES registry on January 16, 2026.
Where is Zachary Tisdale located?
Zachary Tisdale practices at 14365 Highway 16 W, De Kalb, MS 39328. The listed phone number is (769) 486-1000.
What is Zachary Tisdale's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Zachary Tisdale enrolled in Medicare?
Yes. Zachary 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.
Is Zachary Tisdale affiliated with any hospitals?
According to CMS data, Zachary Tisdale is affiliated with Ochsner Rush Hospital and Ochsner Laird Hospital.
When was this NPI record last updated?
The NPPES record for Zachary Tisdale was last updated on January 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Zachary Tisdale · NPI 1730048794
Nurse Practitioner physician in De Kalb, Mississippi. Individual provider, active in the CMS NPPES registry since January 16, 2026.
## Identity
- **NPI:** 1730048794 (Entity type: Individual)
- **Enumerated:** January 16, 2026
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 907900 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 14365 HIGHWAY 16 W, De Kalb, MS 39328-7974
- **Phone:** (769) 486-1000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** January 16, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1730048794) · Data from the CMS NPPES public registry.