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NPI · 1154814697 · NPPES-sourced

Jennifer Tisdale PA-C

ActiveNurse Practitioner
NPI Number
1154814697
Type 1 · Individual
Taxonomy Code
363L00000X
Contact
(757) 388-9925
License VA · 0110006241
Last Updated
Enumerated
Primary practice addressVA · 23505-3406
7401 Granby StNorfolk, VA 23505-3406
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About this NPIWhat this record shows.

NPI 1154814697 is registered to Jennifer Tisdale PA-C, a Nurse Practitioner practising at 7401 Granby St in Norfolk, Virginia. Nurse Practitioner is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Jennifer Tisdale PA-C has been enumerated in the National Provider Identifier (NPI) registry since 2018.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Jennifer Tisdale PA-C accepts. To confirm in-network status with your specific health plan, contact Jennifer Tisdale PA-C directly at (757) 388-9925.

Frequently asked

Yes. NPI 1154814697 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Nurse Practitioner is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (757) 388-9925.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Jennifer Tisdale PA-C is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy363L00000X
Last updated
Enumerated
StatusActive
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