Kristin Tidwell, APRN, FNP-C - Medicare Nurse Practitioner in Sapulpa, OK

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Kristin Tidwell, APRN, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Sapulpa, Oklahoma. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Neuropathy Treatment Clinic Of Oklahoma Llc and her current practice location is 1008 W Taft Ave, Sapulpa, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (918) 347-8090.

Kristin Tidwell is licensed to practice in Oklahoma (license number R0111034) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1396418679.

Contact Information

Kristin Tidwell, APRN, FNP-C
1008 W Taft Ave,
Sapulpa, OK 74066-8720
(918) 347-8090
Not Available

Map and Direction




Provider's Profile

Full NameKristin Tidwell
GenderFemale
SpecialityNurse Practitioner
Experience4 Years
Location1008 W Taft Ave, Sapulpa, Oklahoma
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kristin Tidwell graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1396418679
  • Provider Enumeration Date: 07/31/2021
  • Last Update Date: 07/31/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 6103221239
  • Enrollment ID: I20210826003373

Medical Identifiers

Medical identifiers for Kristin Tidwell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396418679NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family R0111034 (Oklahoma)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Neuropathy Treatment Clinic Of Oklahoma Llc57990252687

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kristin Tidwell allows following entities to bill medicare on her behalf.
Entity NameNeuropathy Treatment Clinic Of Oklahoma Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386185353
PECOS PAC ID: 5799025268
Enrollment ID: O20190320000017
Entity NameL And M Investments Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104437219
PECOS PAC ID: 7618381005
Enrollment ID: O20210126001898
Entity NameRevelation Medical Of Tulsa Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366194110
PECOS PAC ID: 5294122933
Enrollment ID: O20220427000588

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kristin Tidwell is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kristin Tidwell, APRN, FNP-C
10488 S 86th East Ave,
Tulsa, OK 74133-7084

Ph: () -		Kristin Tidwell, APRN, FNP-C
1008 W Taft Ave,
Sapulpa, OK 74066-8720

Ph: (918) 347-8090

Reviews and Comments


Nurse Practitioner Nurses in Sapulpa, OK

Ms. Linda C Byrd, ARNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1808 S Hickory St, Sapulpa, OK 74066
Phone: 918-224-5531    Fax: 918-224-1739
Ms. Jenny Dawn Lloyd, APRN-CNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1305 E Taft Ave, Sapulpa, OK 74066
Phone: 918-224-8425    Fax: 918-224-8426
Misty Stephens, APRN-CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1021 E Bryan Ave, Sapulpa, OK 74066
Phone: 918-227-1000    
Carla Newton, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1021 E Bryan Ave, Sapulpa, OK 74066
Phone: 918-227-1000    Fax: 918-293-3129
Johnnie Brasuell, A.R.N.P.
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1125 E Cleveland Ave, Sapulpa, OK 74066
Phone: 918-224-9310    Fax: 918-756-3993
Mrs. Shea Lyn Despain, APRN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 16 S Water St, Sapulpa, OK 74066
Phone: 918-347-9022    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.