MARY ROSE TIDOE APRN
NPI 1073142881
Nurse Practitioner - Family in Danville, VA
About Mary Rose Tidoe Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY ROSE TIDOE APRN (NPI 1073142881) is an individual family provider in Danville, Virginia, licensed in Virginia (0024182807) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
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
Mary Rose Tidoe Aprn 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
2Medicare enrollment records show Mary Tidoe reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lynchburg, VA 24501
- Reassigned Medicare billing, Virginia enrollment
- 61 clinicians in this Medicare group
Williamsburg, VA 23188
- Reassigned Medicare billing, Virginia enrollment
- 6 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.
Areas of Expertise CMS Part B claims 2
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 24540 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 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DANVILLE, VA 24540
DANVILLE, VA 24540
DANVILLE, VA 24540
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 Mary Tidoe's NPI number?
The NPI number for Mary Tidoe is 1073142881. It was assigned to this individual provider in the NPPES registry on April 3, 2020. The provider is also known as Mary Rose Rogers Aprn.
Where is Mary Tidoe located?
Mary Tidoe practices at 480 Mount Cross Rd, Danville, VA 24540. The listed phone number is (833) 510-4357.
What is Mary Tidoe's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Mary Tidoe enrolled in Medicare?
Yes. Mary Tidoe 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 Mary Tidoe's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Tidoe reassigns Medicare benefits to 2 organizations: Brightview LLC (Lynchburg, VA) and Addiction Recovery Center Of Virginia (Williamsburg, 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 Mary Tidoe's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mary Tidoe accept?
Health plans from Oscar Health and Oscar Insurance Company list Mary Tidoe 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 Mary Tidoe was last updated on February 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Mary Rose Tidoe, APRN · NPI 1073142881
Family physician in Danville, Virginia. Individual provider, active in the CMS NPPES registry since April 3, 2020.
## Identity
- **NPI:** 1073142881 (Entity type: Individual)
- **Enumerated:** April 3, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 0024182807 (Virginia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 480 MOUNT CROSS RD, Danville, VA 24540-4000
- **Phone:** (833) 510-4357
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Brightview LLC (NPI 1649786260, Lynchburg, VA); Addiction Recovery Center Of Virginia (NPI 1811407042, Williamsburg, VA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** February 2, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1073142881) · Data from the CMS NPPES public registry.