Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Angela Sims Tisdale, ARNP

Individual provider Gerontology Nurse Practitioner · NPI 1508371014

Angela Sims Tisdale, ARNP is a Nurse Practitioner in New Port Richey, Florida. Qualified in 2016, 10 years ago. Practices with Suncoast Community Health Centers Inc, a 30-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
10
Licensed in
FL
In the registry since
2017
Specialties on file
2
What do these letters mean?
ARNP — Advanced Registered Nurse Practitioner
The title some states use for an advanced practice nurse.

See every abbreviation used in this directory →

Practice location Address checks out

6804 Cecelia Dr
New Port Richey, FL 34653-4935
Phone: (855) 232-0644
Fax: (888) 546-0488
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 10203 Majestic Palm Cir Apt 102, Riverview, FL 33578-9440 — (251) 455-4464

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 9464937 (FL)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 9464937 (FL)

Record details

NPI number1508371014
Entity typeIndividual (Type 1)
GenderFemale
Credentials ARNP
Sole proprietorNo
NPI enumeratedDecember 6, 2017
Last updated in NPPESMarch 4, 2022
Certification dateMarch 4, 2022
Mailing address6804 Cecelia Dr, New Port Richey, FL 34653-4935

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Suncoast Community Health Centers Inc — 30 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in New Port Richey