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

Dr. Nicholas E Tisdale, MD

Individual provider Internal Medicine Physician · NPI 1962023754

Dr. Nicholas E Tisdale, MD is an Internal Medicine in Vero Beach, Florida. Qualified in 2020, 6 years ago. Practices with Indian River Primary Care, a 10-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida, Michigan, Nevada and Ohio.

Years since qualifying
6
Licensed in
FL, MI, NV, OH
In the registry since
2020
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1715 37th Pl Fl 2
Vero Beach, FL 32960-4508
Phone: (772) 794-2222
Fax: (772) 794-0045
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence ME169907 (FL)
Internal Medicine Physician Taxonomy 207R00000X · Licence 22993 (NV)
Internal Medicine Physician Taxonomy 207R00000X · Licence 4301507158 (MI)
Internal Medicine Physician Taxonomy 207R00000X · Licence 35.154509 (OH)

Record details

NPI number1962023754
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 3, 2020
Last updated in NPPESApril 29, 2026
Certification dateApril 29, 2026
Mailing address1715 37th Pl Fl 2, Vero Beach, FL 32960-4508

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Indian River Primary Care — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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