Zachary Tisdale
Nurse Practitioner · De Kalb, MS
Zachary Tisdale is a nurse practitioner with a practice address in De Kalb, Mississippi, and NPI 1730048794, issued on Jan 16, 2026. Check the license (Mississippi 907900, as entered in NPPES) with the Mississippi board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Zachary Tisdale
- Primary taxonomy
- Nurse Practitioner 363L00000X
- License number
- 907900 MS
Self-reported in NPPES; status is on the state search - Practice location
- 14365 Highway 16 W, De Kalb, MS 39328
- Phone
- (769) 486-1000
- Enumerated
- Jan 16, 2026
- Record last updated
- Jan 16, 2026
- Medicare enrollment
- Enrolled (PECOS I20260331002948); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest nurse practitioner records → All 1,075 in Mississippi → Look up another NPI →
Also registered at 14365 Highway 16 W
A shared address usually means a shared clinic or building; it does not show who employs whom.
- William Bracken, DOFamily Medicine Physician1417969031
- Patricia Dunlap, MDFamily Medicine Physician1114187333
- Anna Marie Hailey-Sharp, MDFamily Medicine Physician1467716860
- Mitzi Trosper, PHARM.D.Pharmacist1326419375
Verify Zachary Tisdale in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Mississippi board licenses this profession
Search for license 907900Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Bonita Emergency Group LLCMeridian, MS
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Zachary Tisdale among 1,075 nurse practitioner records in Mississippi
Zachary Tisdale is one of 1,075 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 2026, is newer than 97% of them.
- NPI issued2026 · 97% of these records are older, 0% newer
- In a Medicare fileYes · 81% of these records are
- In the CMS Doctors and Clinicians fileYes · 64% of these records are
- Graduated2025 · median 2017 among the 686 with a school on file
- Record last updated2026 · 52% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363L00000X and a Mississippi practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
1 nurse practitioner record lists a practice address in De Kalb
They are 1 of the 17 NPPES records with a practice address in De Kalb, and 1,075 nurse practitioner records in Mississippi.
All 1,075 in Mississippi → Every provider in De Kalb → Nurse Practitioner nationwide →
The 8 nurse practitioner records with the nearest ZIP codes
- Kelsey Creel, FNP-BCBailey, MS 393201801540869
- Marye Baker, FNPLouisville, MS 393391265275622
- Erin Burton, FNPLouisville, MS 393391306612775
- Rita Carter-McReynolds, NPLouisville, MS 393391568914505
- Casey Fleming, NP-CLouisville, MS 393391598263709
- Laken Fulcher, FNPLouisville, MS 393391295378339
- Heather Gilmer, CFNPLouisville, MS 393391477706323
- Cynthia Harrington, FNPLouisville, MS 393391346337920
Common questions
What is Zachary Tisdale's NPI number?
Zachary Tisdale's National Provider Identifier (NPI) is 1730048794, issued on Jan 16, 2026. An NPI identifies a provider in billing; it is not a license.
Where is Zachary Tisdale located?
The NPPES record lists a practice address at 14365 Highway 16 W, De Kalb, MS, 39328. Phone: (769) 486-1000. Providers update this record themselves, so call before visiting.
How can I verify Zachary Tisdale's license?
NPPES lists Mississippi license number 907900, as entered by the provider. Search the Mississippi board that licenses this profession; the NPPES record confirms identity 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.