JESSI BLACKSTOCK TIDWELL CRNP
NPI 1013556356
Nurse Practitioner in Florence, AL
About Jessi Blackstock Tidwell Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JESSI BLACKSTOCK TIDWELL CRNP (NPI 1013556356) is an individual nurse practitioner in Florence, Alabama, licensed in Alabama (1-162142) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jessi Blackstock Tidwell Crnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 35630 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FLORENCE, AL 35630
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jessi Tidwell's NPI number?
The NPI number for Jessi Tidwell is 1013556356. It was assigned to this individual provider in the NPPES registry on January 3, 2020.
Where is Jessi Tidwell located?
Jessi Tidwell practices at 2904 Mall Rd, Florence, AL 35630. The listed phone number is (256) 768-5350.
What is Jessi Tidwell's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Jessi Tidwell enrolled in Medicare?
Yes. Jessi Tidwell is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Jessi Tidwell accept?
Health plans from Blue Cross and Blue Shield of Alabama, Oscar Insurance Company and UnitedHealthcare list Jessi Tidwell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Jessi Tidwell was last updated on May 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jessi Blackstock Tidwell, CRNP · NPI 1013556356
Nurse Practitioner physician in Florence, Alabama. Individual provider, active in the CMS NPPES registry since January 3, 2020.
## Identity
- **NPI:** 1013556356 (Entity type: Individual)
- **Enumerated:** January 3, 2020
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 1-162142 (Alabama)
- **Sole proprietor:** No
## Practice location
- **Address:** 2904 MALL RD, Florence, AL 35630-1641
- **Phone:** (256) 768-5350 · **Fax:** (949) 695-4340
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** May 1, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1013556356) · Data from the CMS NPPES public registry.