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

Tisha Delise Van Pelt

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1982233938

Tisha Delise Van Pelt is a Family Practice in Tampa, Florida. Graduated from University of Florida College of Medicine in 2020, 6 years ago. Practices with Baycare Medical Group, Inc, a 1,530-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
6
Trained at
University of Florida College of Medicine
Licensed in
FL
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

17 Davis Blvd Ste 308
Tampa, FL 33606-3438
Phone: (727) 462-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence ME153152 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1982233938
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 2, 2020
Last updated in NPPESMay 22, 2024
Certification dateOctober 11, 2023

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Baycare Medical Group, Inc. — 1530 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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