KRISTEN TIDWELL MS, RD, LD, CNSC
NPI 1053884742
Dietitian, Registered in Missouri City, TX
About Kristen Tidwell Ms, Rd, Ld, Cnsc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KRISTEN TIDWELL MS, RD, LD, CNSC (NPI 1053884742) is an individual dietitian, registered in Missouri City, Texas, licensed in Texas (DT80388) and active in the NPI registry since January 2019. She is a graduate of Other (2007).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kristen Tidwell Ms, Rd, Ld, Cnsc 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.
Medicare Billing Reassignments
3Medicare enrollment records show Kristen Tidwell reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Houston, TX 77054
- Reassigned Medicare billing, Texas enrollment
- 497 clinicians in this Medicare group
Abilene, TX 79606
- Reassigned Medicare billing, Texas enrollment
- 83 clinicians in this Medicare group
Arlington, VA 22203
- Reassigned Medicare billing, District of Columbia enrollment
- 1,534 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 77459 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Kristen Tidwell's NPI number?
The NPI number for Kristen Tidwell is 1053884742. It was assigned to this individual provider in the NPPES registry on January 6, 2019.
Where is Kristen Tidwell located?
Kristen Tidwell practices at 15 Veneto Ln, Missouri City, TX 77459. The listed phone number is (281) 995-1323.
What is Kristen Tidwell's specialty?
The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.
Is Kristen Tidwell enrolled in Medicare?
Yes. Kristen 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.
Which organizations bill Medicare for Kristen Tidwell's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kristen Tidwell reassigns Medicare benefits to 3 organizations: Privia Medical Group Gulf Coast, PLLC (Houston, TX), Privia Medical Group West Texas, PLLC (Abilene, TX) and Privia Medical Group, LLC (Arlington, VA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kristen Tidwell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kristen Tidwell accept?
Health plans from Blue Cross Blue Shield of Arizona, Blue Cross and Blue Shield of Texas, Oscar Insurance Company, UnitedHealthcare and WellPoint list Kristen 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 Kristen Tidwell was last updated on January 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.
# Kristen Tidwell, MS, RD, LD, CNSC · NPI 1053884742
Dietitian, Registered provider in Missouri City, Texas. Individual provider, active in the CMS NPPES registry since January 6, 2019.
## Identity
- **NPI:** 1053884742 (Entity type: Individual)
- **Enumerated:** January 6, 2019
- **Primary specialty:** Dietitian, Registered · taxonomy 133V00000X
- **State license:** DT80388 (Texas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 15 VENETO LN, Missouri City, TX 77459-1166
- **Phone:** (281) 995-1323
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Privia Medical Group Gulf Coast, PLLC (NPI 1578969465, Houston, TX); Privia Medical Group West Texas, PLLC (NPI 1346242567, Abilene, TX); Privia Medical Group, LLC (NPI 1013042480, Arlington, VA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2007
## Record status
- **NPPES last updated:** January 6, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1053884742) · Data from the CMS NPPES public registry.