JOHNATHAN TIDWELL CRNP
NPI 1063870608
Nurse Practitioner - Acute Care in Birmingham, AL

Active since February 09, 2016PECOS EnrolledAccepts Medicare Assignment
619 19TH ST S, P915, BIRMINGHAM, AL 35233(205) 975-0512 Get Directions Write a Review

NPPES record last updated: February 1, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 17, 2017, Feb 9, 2016 (2 updates tracked since 2016).

About Johnathan Tidwell Crnp NPPES

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

JOHNATHAN TIDWELL CRNP (NPI 1063870608) is an individual acute care provider in Birmingham, Alabama, licensed in Alabama (1-124189) and active in the NPI registry since February 2016. He is enrolled in Medicare PECOS, maintains a secondary practice location in Birmingham, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1063870608
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameJOHNATHAN TIDWELLCredential: CRNP
Location Address619 19TH ST S, P915Birmingham, AL 35233-1900
Mailing AddressPo Box 55310Birmingham, AL 35255-5310 · (205) 731-9701 · Fax (205) 297-9411
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateFebruary 9, 2016
Last NPPES UpdateFebruary 1, 20242 updates tracked since enumeration
NPI 1063870608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in AL · 1-124189
619 19TH ST S, Birmingham, AL 35233

Secondary Practice Location 1

Location 1619 19th St SBirmingham, AL 35233-1900 · Phone (205) 975-0511

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

Johnathan 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.

PECOS PAC ID2769788991
PECOS Enrollment IDI20160314001695
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
22 services15 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
21 services21 patients
Ultrasonic guidance for blood vessel access 76937
Ultrasonic guidance for blood vessel access is a medical procedure where sound waves are used to create images of your blood vessels. This helps doctors to accurately locate and access the vessels for treatments or tests, ensuring safety and precision.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35233 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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 20

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

Emergency Medicine (Medical Toxicology)
619 19TH ST S
BIRMINGHAM, AL 35233
Registered Nurse
619 19TH ST S
BIRMINGHAM, AL 35233
Physician Assistant
619 19TH ST S
BIRMINGHAM, AL 35233
Emergency Medicine
619 19TH ST S
BIRMINGHAM, AL 35233
Hospitalist
619 19TH ST S
BIRMINGHAM, AL 35233
Radiology (Diagnostic Radiology)
619 19TH ST S
BIRMINGHAM, AL 35233
Internal Medicine (Hematology)
619 19TH ST S
BIRMINGHAM, AL 35233
Surgery (Trauma Surgery)
619 19TH ST S
BIRMINGHAM, AL 35233

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 Johnathan Tidwell's NPI number?

The NPI number for Johnathan Tidwell is 1063870608. It was assigned to this individual provider in the NPPES registry on February 9, 2016.

Where is Johnathan Tidwell located?

Johnathan Tidwell practices at 619 19th St S P915, Birmingham, AL 35233. The listed phone number is (205) 975-0512.

What is Johnathan Tidwell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Johnathan Tidwell enrolled in Medicare?

Yes. Johnathan 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 Johnathan Tidwell accept?

Health plans from Blue Cross and Blue Shield of Alabama list Johnathan 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 Johnathan Tidwell was last updated on February 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.