Lacy Rebaka Tisdale, NP-C
Family Nurse Practitioner · Jackson, TN
Lacy Rebaka Tisdale, NP-C is a family nurse practitioner with a practice address in Jackson, Tennessee, and NPI 1033517768, issued on Dec 11, 2014. Check the license (Tennessee 25492, as entered in NPPES) with the Tennessee board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Lacy Rebaka Tisdale
- Credential
- NP-C
- Primary taxonomy
- Family Nurse Practitioner 363LF0000X
- License numbers
- 25492 TN
A004241 AR
Self-reported in NPPES; status is on the state search - Practice location
- 2054 S Highland Ave, Jackson, TN 38301
- Phone
- (731) 499-8708
- Enumerated
- Dec 11, 2014
- Record last updated
- Apr 9, 2021 (not updated in 5 years: call before relying on the address or phone)
- Fax
- (731) 499-8709
- Medicare enrollment
- Enrolled (PECOS I20190501001223); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest family nurse practitioner records → All 9,060 in Tennessee → Look up another NPI →
Also registered at 2054 S Highland Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Luanne Escue, NPFamily Nurse Practitioner1396564332
- Amy Greer, FNP-CFamily Nurse Practitioner1497107874
- Jenny MaynardFamily Nurse Practitioner1215800792
- Deborah Sherer, FNPFamily Nurse Practitioner1346739448
Verify Lacy Rebaka Tisdale in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Tennessee board licenses this profession
Search for license 25492Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
87% fewer Medicare Part D claims than the average family nurse practitioner in 2024
169 Medicare Part D claims for 82 beneficiaries, against an average of 1,305 among the 140,557 providers of this specialty who prescribed in Part D.
Most prescribed
- Azithromycin12 claims
- Hydrochlorothiazide11 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
Bills Medicare through 2 group practices
- Fast Pace Medical Clinic PLLCCollinwood, TN
- Healogics Specialty Physicians OF Tennessee, PLLCJackson, TN
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Lacy Rebaka Tisdale among 9,060 family nurse practitioner records in Tennessee
Lacy Rebaka Tisdale, NP-C is one of 9,060 family nurse practitioner records with a practice address in Tennessee. 79% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2014, is newer than 33% of them.
- NPI issued2014 · 33% of these records are older, 61% newer
- In a Medicare fileYes · 79% of these records are
- In the CMS Doctors and Clinicians fileYes · 61% of these records are
- Graduated2014 · median 2017 among the 5,523 with a school on file
- Record last updated2021 · 40% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363LF0000X and a Tennessee practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
205 family nurse practitioner records list a practice address in Jackson
They are 205 of the 2,531 NPPES records with a practice address in Jackson, and 9,060 family nurse practitioner records in Tennessee.
All 9,060 in Tennessee → Every provider in Jackson → Family Nurse Practitioner nationwide →
The 8 family nurse practitioner records with the nearest ZIP codes
- Melissa Baines, APNJackson, TN 383011699743039
- John Briley, DNPJackson, TN 383011356339055
- Christine Byrer, CFNPJackson, TN 383011104856384
- Nekayeh Carothers, FNPJackson, TN 383011134455850
- Cynthia Early, FNPJackson, TN 383011881644862
- Lesa Ferguson, APNJackson, TN 383011932324019
- Stacye Hopper, APNJackson, TN 383011710939301
- Carolyn Newman, APN-BCJackson, TN 383011053467589
Common questions
What is Lacy Rebaka Tisdale, NP-C's NPI number?
Lacy Rebaka Tisdale, NP-C's National Provider Identifier (NPI) is 1033517768, issued on Dec 11, 2014. An NPI identifies a provider in billing; it is not a license.
Where is Lacy Rebaka Tisdale, NP-C located?
The NPPES record lists a practice address at 2054 S Highland Ave, Jackson, TN, 38301. Phone: (731) 499-8708. Providers update this record themselves, so call before visiting.
How can I verify Lacy Rebaka Tisdale, NP-C's license?
NPPES lists Tennessee license number 25492, as entered by the provider. Search the Tennessee board that licenses this profession; the NPPES record confirms identity only.
How much does Lacy Rebaka Tisdale, NP-C prescribe under Medicare Part D?
In 2024, Lacy Rebaka Tisdale, NP-C had 169 Medicare Part D claims for 82 beneficiaries; the average among family nurse practitioner prescribers was 1,305. Part D covers Medicare prescriptions only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.