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RANDY TIDWELL APN
NPI 1164661674
Nurse Practitioner - Family in Portland, TN

Active since February 08, 2009PECOS Enrolled
421 N BROADWAY, PORTLAND, TN 37148(615) 323-1020(615) 323-1021 Get Directions Write a Review

NPPES record last updated: August 3, 2012. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Randy Tidwell Apn NPPES

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

RANDY TIDWELL APN (NPI 1164661674) is an individual family provider in Portland, Tennessee, licensed in Tennessee (13982) and active in the NPI registry since February 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164661674
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameRANDY TIDWELLCredential: APN
Location Address421 N BROADWAYPortland, TN 37148-1750
Mailing AddressPo Box 507, 421 N BroadwayPortland, TN 37148-0507 · (615) 323-1020 · Fax (615) 323-1021
Phone(615) 323-1020
Fax(615) 323-1021
Sole ProprietorNo
Enumeration DateFebruary 8, 2009
Last NPPES UpdateAugust 3, 2012
✔ NPI 1164661674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TN · 13982
421 N BROADWAY, Portland, TN 37148
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, Oscar Insurance Company, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Randy Tidwell Apn 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.

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
18 services14 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
15 services13 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
13 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37148 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Neuromuscular stimulator, electronic shock unit E0745
DME-Other DME · category DE000N
1 supplier12 claims12 services$51.16 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

FIREFLY HEALTH PLLC
Family Medicine
421 N BROADWAY
PORTLAND, TN 37148
Sumner County (615) 205-2100
EMILY TIDWELL NP
Nurse Practitioner (Acute Care)
421 N BROADWAY
PORTLAND, TN 37148
Sumner County (615) 323-1020

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 Randy Tidwell's NPI number?

The NPI number for Randy Tidwell is 1164661674. It was assigned to this individual provider in the NPPES registry on February 8, 2009.

Where is Randy Tidwell located?

Randy Tidwell practices at 421 N Broadway, Portland, TN 37148. The listed phone number is (615) 323-1020.

What is Randy Tidwell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Randy Tidwell enrolled in Medicare?

Yes. Randy Tidwell is registered in the Medicare PECOS enrollment system.

What insurance does Randy Tidwell accept?

Health plans from BlueCross BlueShield of Tennessee, Oscar Insurance Company and UnitedHealthcare list Randy 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 Randy Tidwell was last updated on August 3, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.