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

Active since November 10, 2006PECOS EnrolledAccepts Medicare Assignment
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: August 02, 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 and is a graduate of Other (2003).

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
Medical School CMSOtherGraduated 2003
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 ↗

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

Mrs. Tieshau Middlebrooks Apn 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.

PECOS PAC ID2466741418
PECOS Enrollment IDI20160516001211
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.

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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

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.