MS. AMBER NICKOLINA TIDWELL NP
NPI 1073862751
Nurse Practitioner - Psychiatric/Mental Health in New York, NY
About Ms. Amber Nickolina Tidwell Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. AMBER NICKOLINA TIDWELL NP (NPI 1073862751) is an individual psychiatric/mental health provider in New York, New York, licensed in Maryland (AC004642) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2011).
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
Ms. Amber Nickolina Tidwell Np 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
5Medicare enrollment records show Amber Tidwell reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Griffin, GA 30223
- Reassigned Medicare billing, Georgia enrollment
- 20 clinicians in this Medicare group
Villa Rica, GA 30180
- Reassigned Medicare billing, Georgia enrollment
- 2 clinicians in this Medicare group
Carrollton, GA 30117
- Reassigned Medicare billing, Georgia enrollment
- 11 clinicians in this Medicare group
Forsyth, IL 62535
- Reassigned Medicare billing, Kansas and Maine enrollments
- 11 clinicians in this Medicare group
Missouri City, TX 77459
- Reassigned Medicare billing, Indiana, Missouri, Ohio and Texas enrollments
- 9 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
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 10013 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEW YORK, NY 10013
NEW YORK, NY 10013
NEW YORK, NY 10013
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 Amber Tidwell's NPI number?
The NPI number for Amber Tidwell is 1073862751. It was assigned to this individual provider in the NPPES registry on September 10, 2012.
Where is Amber Tidwell located?
Amber Tidwell practices at 205 Hudson St Fl 9, New York, NY 10013. The listed phone number is (646) 941-7645.
What is Amber Tidwell's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Amber Tidwell enrolled in Medicare?
Yes. Amber 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 Amber Tidwell's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Amber Tidwell reassigns Medicare benefits to 5 organizations: Pathways Center For Behavioral And Developmental Growth (Griffin, GA), Arun K Kantamneni MD, Inc. (Villa Rica, GA), West Georgia Cardiology Associates, PC (Carrollton, GA), Tp Health Tx PC (Forsyth, IL) and Tp-Health Incorporated (Missouri City, TX). 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 Amber Tidwell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Amber Tidwell accept?
Health plans from Oscar Health Insurance, Oscar Insurance Company and UnitedHealthcare list Amber 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 Amber Tidwell was last updated on June 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Ms. Amber Nickolina Tidwell, NP · NPI 1073862751
Psychiatric/Mental Health physician in New York, New York. Individual provider, active in the CMS NPPES registry since September 10, 2012.
## Identity
- **NPI:** 1073862751 (Entity type: Individual)
- **Enumerated:** September 10, 2012
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** AC004642 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 205 HUDSON ST FL 9, New York, NY 10013-1810
- **Phone:** (646) 941-7645
## 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:** 5 organizations under Medicare reassignment (form CMS-855R): Pathways Center For Behavioral And Developmental Growth (NPI 1427225655, Griffin, GA); Arun K Kantamneni MD, Inc. (NPI 1922491695, Villa Rica, GA); West Georgia Cardiology Associates, PC (NPI 1932421187, Carrollton, GA); Tp Health Tx PC (NPI 1518544527, Forsyth, IL); Tp-Health Incorporated (NPI 1760047526, Missouri City, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** June 1, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1073862751) · Data from the CMS NPPES public registry.