MOLLIE ANNE TISDALE PAC
NPI 1750014296
Physician Assistant in Big Rapids, MI
About Mollie Anne Tisdale Pac NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MOLLIE ANNE TISDALE PAC (NPI 1750014296) is an individual physician assistant in Big Rapids, Michigan, licensed in Michigan (5601011275) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS, is affiliated with Corewell Health Big Rapids Hospital, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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
Mollie Anne Tisdale Pac 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 2
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.
Corewell Health Big Rapids Hospital
Acute Care Hospitals · Big Rapids, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 49307 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 16
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BIG RAPIDS, MI 49307
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 Mollie Tisdale's NPI number?
The NPI number for Mollie Tisdale is 1750014296. It was assigned to this individual provider in the NPPES registry on July 1, 2022. The provider is also known as Mollie Anne Tuthill.
Where is Mollie Tisdale located?
Mollie Tisdale practices at 14755 215th Ave, Big Rapids, MI 49307. The listed phone number is (231) 796-3200.
What is Mollie Tisdale's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Mollie Tisdale enrolled in Medicare?
Yes. Mollie 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 Mollie Tisdale accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Mollie 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 Mollie Tisdale affiliated with any hospitals?
According to CMS data, Mollie Tisdale is affiliated with Corewell Health Big Rapids Hospital.
When was this NPI record last updated?
The NPPES record for Mollie Tisdale was last updated on July 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Mollie Anne Tisdale, PAC · NPI 1750014296
Physician Assistant physician in Big Rapids, Michigan. Individual provider, active in the CMS NPPES registry since July 1, 2022.
## Identity
- **NPI:** 1750014296 (Entity type: Individual)
- **Enumerated:** July 1, 2022
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** 5601011275 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 14755 215TH AVE, Big Rapids, MI 49307-9224
- **Phone:** (231) 796-3200
## 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 2022
## Record status
- **NPPES last updated:** July 16, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1750014296) · Data from the CMS NPPES public registry.