Potato (Solanum tuberosum L.) production often requires intensive tillage with the moldboard plow (MP), which involves deeper soil tillage and turning of the soil to provide enough loose soil for proper tuberization. Although tillage with the MP allows better potato seedbed preparation and lower weed pressure, it is also associated with increased soil compaction, soil aggregate destruction, and increased soil organic matter (SOM) mineralization. The objective of this four-year (2019–2022) study conducted in 14 commercial fields was to compare the use of MP with primary non-inversion shallow tillage (ST) in terms of their effect on selected soil health indicators, soil moisture, potato petiole nitrate concentration, potato yield, and specific gravity. Commercial fields ranged from 1.5 ha to 19 ha where the main field was split in half, with one side tilled using MP (22.5–30 cm plowing depth) and the other half using ST (15–30 cm plowing depth). Soil and plant tissue samples were taken within four sub-replicates (91 m2) created per each treatment per each site and three to four sites were used as replicates per each year. Compared to MP, ST increased active carbon by an average of 9%, soil respiration by an average of 26%, and aggregate stability by an average of 8%. Biological N availability (BNA) increased by an average of 20% with ST, and the effect was statistically significant in three out of four years. Soil moisture at 20 cm depth tended to be higher with MP than ST in three out of four years. Although not statistically significant, when averaged across four years, potato petiole nitrate concentrations were 5% and 12% higher with ST than MP in samples collected at the flowering and post-potato flowering stages, respectively. Total and marketable potato yields, along with specific gravity, were comparable for the two tillage regimes. Signs of soil improvement were observed at the early stages of ST adoption. Marketable yield was negatively correlated with the soil nitrate levels measured during the growing season but was positively correlated with active carbon, aggregate stability, and soil moisture. Future studies could compare both tillage regimes over multiple growing seasons to assess their impacts over a full cycle of rotation. The novelty of the present study was that it was conducted in real-life conditions across large growers’ fields with different conditions and across four years.