Shannon Tisdell, FNP
Family Nurse Practitioner · Olive Branch, MS
Shannon Tisdell, FNP is a family nurse practitioner with a practice address in Olive Branch, Mississippi, and NPI 1790384329, issued on Oct 24, 2020. Check the license (Mississippi 904149, as entered in NPPES) with the Mississippi board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Shannon Tisdell
- Credential
- FNP
- Primary taxonomy
- Family Nurse Practitioner 363LF0000X
- License numbers
- 904149 MS
27722 TN
Self-reported in NPPES; status is on the state search - Practice location
- 6674 Goodman RD, Olive Branch, MS 38654
- Phone
- (662) 985-7806
- Enumerated
- Oct 24, 2020
- Record last updated
- Oct 24, 2020 (not updated in 6 years: call before relying on the address or phone)
- Medicare enrollment
- Enrolled (PECOS I20210218000825); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest family nurse practitioner records → All 3,798 in Mississippi → Look up another NPI →
Also registered at 6674 Goodman RD
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Brittany Carper, NPFamily Nurse Practitioner1023687910
- Bonnie Dering, FNP-CFamily Nurse Practitioner1326682600
Verify Shannon Tisdell in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Mississippi board licenses this profession
Search for license 904149Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
99% fewer Medicare Part D claims than the average family nurse practitioner in 2024
14 Medicare Part D claims, against an average of 1,305 among the 140,557 providers of this specialty who prescribed in Part D.
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.
The practice group's MIPS final score for 2023 (Medicare payment program): 75.1 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $1,050.26
24 payments; by number, the most common kind was food and beverage; the largest payer was Avita Medical Americas, Llc. The 99,489 providers of this specialty with any payment received $650.95 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- UT Regional One Physicians IncMemphis, TN
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Shannon Tisdell among 3,798 family nurse practitioner records in Mississippi
Shannon Tisdell, FNP is one of 3,798 family nurse practitioner records with a practice address in Mississippi. 81% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2020, is newer than 68% of them.
- NPI issued2020 · 68% of these records are older, 26% newer
- In a Medicare fileYes · 81% of these records are
- In the CMS Doctors and Clinicians fileYes · 68% of these records are
- Graduated2020 · median 2017 among the 2,576 with a school on file
- Record last updated2020 · 51% 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 Mississippi practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
45 family nurse practitioner records list a practice address in Olive Branch
They are 45 of the 427 NPPES records with a practice address in Olive Branch, and 3,798 family nurse practitioner records in Mississippi.
All 3,798 in Mississippi → Every provider in Olive Branch → Family Nurse Practitioner nationwide →
The 8 family nurse practitioner records with the nearest ZIP codes
- Susan Brame, FNPOlive Branch, MS 386541659336196
- Ashley Buescher, NURSE PRACTITIONEROlive Branch, MS 386541336270156
- Diana Dedmon, FNPOlive Branch, MS 386541457393183
- Valerian Hendrix, ACNP/FNPOlive Branch, MS 386541467617076
- Kerry Hicks, NPOlive Branch, MS 386541700815263
- Connie Hodge, FNP-BC, PMHNP-BCOlive Branch, MS 386541891103313
- Virginia Holmes, FNPOlive Branch, MS 386541134543820
- Tonya Hylander, FNPOlive Branch, MS 386541841272580
Common questions
What is Shannon Tisdell, FNP's NPI number?
Shannon Tisdell, FNP's National Provider Identifier (NPI) is 1790384329, issued on Oct 24, 2020. An NPI identifies a provider in billing; it is not a license.
Where is Shannon Tisdell, FNP located?
The NPPES record lists a practice address at 6674 Goodman RD, Olive Branch, MS, 38654. Phone: (662) 985-7806. Providers update this record themselves, so call before visiting.
How can I verify Shannon Tisdell, FNP's license?
NPPES lists Mississippi license number 904149, as entered by the provider. Search the Mississippi board that licenses this profession; the NPPES record confirms identity only.
How much does Shannon Tisdell, FNP prescribe under Medicare Part D?
In 2024, Shannon Tisdell, FNP had 14 Medicare Part D claims; the average among family nurse practitioner prescribers was 1,305. Part D covers Medicare prescriptions only.
What is Shannon Tisdell, FNP's MIPS final score?
The 2023 MIPS final score is 75.1 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
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.