Doctor profile · Federal record
Dr. Shannon Tisdell, FNP
Family Nurse Practitioner (CMS: Nurse Practitioner) · Family Nurse Practitioner · Olive Branch, MS
- NPI 1790384329
- Accepts Medicare
- MIPS 67.6 / 100 · 2023
- 6 yrs in practice
- Licensed in 2 states
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
6674 Goodman RD
Olive Branch, MS 386547056
(662) 985-7806 - Mailing address
-
7587 Wisteria Dr
Olive Branch, MS 386546982
Credentials & registration
- NPI registered
- October 2020 — 6 yrs on file
- Year of graduation
- 2020 — 6 yrs since
- Specialty taxonomy
- 363LF0000X — NUCC code
- State licenses (2)
- Mississippi #904149 · Tennessee #27722
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1790384329. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
26
Distinct HCPCS
1
Medicare allowed
$1,633
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99232 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 26 | 17 | $63 |
In context: peer comparison
Among 10 peers in Olive Branch Family Nurse Practitioner, average services per provider: 98. This provider delivers 0.3× the peer median.Open Payments
Industry payments received
All-time total
$1,050
Transactions
24
Manufacturers
7
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Avita Medical Americas, LLC | 12 | $458.88 | |
| PolyNovo North America LLC | 4 | $219.81 | |
| Medline Industries Lp | 3 | $185.12 | |
| La Jolla Pharmaceutical Company | 2 | $132.05 | |
| Solventum Corporation | 1 | $21.71 | |
| Smith+Nephew, INC. | 1 | $17.92 | |
| Acera Surgical, INC. | 1 | $14.77 |
By nature of payment
Hospital affiliations
Frequently asked questions
What is Dr. Shannon Tisdell's medical specialty?
Dr. Shannon Tisdell practices Family Nurse Practitioner in Olive Branch, MS.
Where does Dr. Shannon Tisdell practice?
Dr. Shannon Tisdell practices at 6674 Goodman RD, Olive Branch, MS 386547056. Office phone: 6629857806.
What is Dr. Shannon Tisdell's NPI?
Dr. Shannon Tisdell's National Provider Identifier (NPI) is 1790384329, issued by NPPES.
Does Dr. Shannon Tisdell accept Medicare assignment?
Yes. Dr. Shannon Tisdell accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Shannon Tisdell commonly perform?
Top Medicare-reported procedures in 2023: Subsequent hospital care with moderate levelof medical decision making (HCPCS 99232). Source: CMS Medicare Physician & Other Practitioners file.