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DR. MARILYN LORETTA TIDWELL -SHOEMAKER NURSE PRACTITIONER
NPI 1144867409
Nurse Practitioner - Psychiatric/Mental Health in Montgomery, AL

Active since December 05, 2019PECOS Enrolled
233 WINTON BLOUNT LOOP, MONTGOMERY, AL 36117(334) 350-5648 Get Directions Write a Review

NPPES record last updated: January 16, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 27, 2020, Dec 5, 2019 (2 updates tracked since 2019).

About Dr. Marilyn Loretta Tidwell -shoemaker Nurse Practitioner NPPES

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

DR. MARILYN LORETTA TIDWELL -SHOEMAKER NURSE PRACTITIONER (NPI 1144867409) is an individual psychiatric/mental health provider in Montgomery, Alabama, licensed in California (95013184) and active in the NPI registry since December 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144867409
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameDR. MARILYN LORETTA TIDWELL -SHOEMAKERCredential: NURSE PRACTITIONER
Location Address233 WINTON BLOUNT LOOPMontgomery, AL 36117-3507
Mailing Address233 Winton Blount LoopMontgomery, AL 36117-3507 · (334) 239-2622
Phone(334) 350-5648
Sole ProprietorNo
Enumeration DateDecember 5, 2019
Last NPPES UpdateJanuary 16, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 16, 2024
✔ NPI 1144867409 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 CA · 95013184
233 WINTON BLOUNT LOOP, Montgomery, AL 36117
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Marilyn Loretta Tidwell -shoemaker Nurse Practitioner 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36117 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 17

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

MRS. LAUREN JANZEN AMACKER LCSW
Social Worker (Clinical)
233 WINTON BLOUNT LOOP
MONTGOMERY, AL 36117
Montgomery County (334) 341-5788
JAMES DANIEL HENSEL CRNP, FNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
233 WINTON BLOUNT LOOP
MONTGOMERY, AL 36117
Montgomery County (334) 239-2622
TERESA MARIE MEFFORD L.P.C.
Counselor (Professional)
233 WINTON BLOUNT LOOP
MONTGOMERY, AL 36117
Montgomery County (334) 239-9106
AMIN B. GILANI M.D.
Psychiatry & Neurology (Psychiatry)
233 WINTON BLOUNT LOOP
MONTGOMERY, AL 36117
Montgomery County (334) 239-2622
LAKEESHA SUMONE BROUGHTON-NELSON PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
233 WINTON BLOUNT LOOP
MONTGOMERY, AL 36117
Montgomery County (334) 239-2622
ELISE COWGILL PA-C
Physician Assistant
233 WINTON BLOUNT LOOP
MONTGOMERY, AL 36117
Montgomery County (256) 384-8264
ALLEN STEWART LPC
Counselor (Mental Health)
233 WINTON BLOUNT LOOP
MONTGOMERY, AL 36117
Montgomery County (334) 270-5502
MR. JOSHUA ESLAMI
Nurse Practitioner (Psychiatric/Mental Health)
233 WINTON BLOUNT LOOP
MONTGOMERY, AL 36117
Montgomery County (334) 270-5502

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 Marilyn Tidwell -shoemaker's NPI number?

The NPI number for Marilyn Tidwell -shoemaker is 1144867409. It was assigned to this individual provider in the NPPES registry on December 5, 2019.

Where is Marilyn Tidwell -shoemaker located?

Marilyn Tidwell -shoemaker practices at 233 Winton Blount Loop, Montgomery, AL 36117. The listed phone number is (334) 350-5648.

What is Marilyn Tidwell -shoemaker's specialty?

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

Is Marilyn Tidwell -shoemaker enrolled in Medicare?

Yes. Marilyn Tidwell -shoemaker is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Marilyn Tidwell -shoemaker was last updated on January 16, 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.