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MRS. TIESHAU MIDDLEBROOKS APN
NPI 1063583375
Nurse Practitioner - Psychiatric/Mental Health in Mount Laurel, NJ

Active since November 10, 2006PECOS Enrolled
1200 S CHURCH ST STE 20, MOUNT LAUREL, NJ 08054(609) 937-3491(609) 853-0221 Get Directions Write a Review

NPPES record last updated: June 7, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 7, 2022, Feb 21, 2020 (2 updates tracked since 2020).

About Mrs. Tieshau Middlebrooks Apn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. TIESHAU MIDDLEBROOKS APN (NPI 1063583375) is an individual psychiatric/mental health provider in Mount Laurel, New Jersey, licensed in New Jersey (26NJ0089500) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063583375
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMRS. TIESHAU MIDDLEBROOKSCredential: APN
Location Address1200 S CHURCH ST STE 20Mount Laurel, NJ 08054-2936
Mailing Address1200 S Church St Ste 20Mount Laurel, NJ 08054-2936 · (609) 239-1371
Phone(609) 937-3491
Fax(609) 853-0221
Sole ProprietorNo
Enumeration DateNovember 10, 2006
Last NPPES UpdateJune 7, 20222 updates tracked since enumeration
NPPES CertifiedJune 7, 2022
✔ NPI 1063583375 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NJ · 26NJ0089500
1200 S CHURCH ST STE 20, Mount Laurel, NJ 08054
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Tieshau Middlebrooks Apn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Tieshau Middlebrooks reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Neurocognitive Institute LLC
69 mi
Clinical Neuropsychologist
111 HOWARD BLVD, SUITE 205
Mt Arlington, NJ 07856
  • Reassigned Medicare billing, New Jersey enrollment
  • 6 clinicians in this Medicare group
NPI 1841573375 (973) 601-0100
Infinite Medical PC
227 mi
Family Medicine
7 CREEK LN
Bristol, RI 02809
  • Reassigned Medicare billing, New Jersey enrollment
  • 61 clinicians in this Medicare group
NPI 1407483175 (718) 964-6161

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 08054 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRANCHES OF HOPE
Psychiatry & Neurology (Psychiatry)
1200 S CHURCH ST STE 20
MOUNT LAUREL, NJ 08054
Burlington County (609) 491-3007

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 Tieshau Middlebrooks's NPI number?

The NPI number for Tieshau Middlebrooks is 1063583375. It was assigned to this individual provider in the NPPES registry on November 10, 2006.

Where is Tieshau Middlebrooks located?

Tieshau Middlebrooks practices at 1200 S Church St Ste 20, Mount Laurel, NJ 08054. The listed phone number is (609) 937-3491.

What is Tieshau Middlebrooks's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Tieshau Middlebrooks enrolled in Medicare?

Yes. Tieshau Middlebrooks is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Tieshau Middlebrooks's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tieshau Middlebrooks reassigns Medicare benefits to 2 organizations: The Neurocognitive Institute LLC (Mt Arlington, NJ) and Infinite Medical PC (Bristol, RI). 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 Tieshau Middlebrooks's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tieshau Middlebrooks accept?

Health plans from Blue Cross and Blue Shield of Texas list Tieshau Middlebrooks 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 Tieshau Middlebrooks was last updated on June 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.