MRS. KAYLA KIZZIAH TIDWELL CRNP
NPI 1174020929
Nurse Practitioner - Family in Alexander City, AL
About Mrs. Kayla Kizziah Tidwell Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. KAYLA KIZZIAH TIDWELL CRNP (NPI 1174020929) is an individual family provider in Alexander City, Alabama, licensed in Alabama (1-145314) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
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
Mrs. Kayla Kizziah 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.
Medicare Billing Reassignment
Medicare enrollment records show Kayla Tidwell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Alexander City, AL 35010
- Reassigned Medicare billing, Alabama enrollment
- 41 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 35010 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
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.
ALEXANDER CITY, AL 35010
ALEXANDER CITY, AL 35010
ALEXANDER CITY, AL 35010
ALEXANDER CITY, AL 35010
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 Kayla Tidwell's NPI number?
The NPI number for Kayla Tidwell is 1174020929. It was assigned to this individual provider in the NPPES registry on April 9, 2018. The provider is also known as Miss Kayla Danielle Kizziah Crnp.
Where is Kayla Tidwell located?
Kayla Tidwell practices at 3316 Highway 280, Alexander City, AL 35010. The listed phone number is (256) 329-7100.
What is Kayla Tidwell's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kayla Tidwell enrolled in Medicare?
Yes. Kayla 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 organization bills Medicare for Kayla Tidwell's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kayla Tidwell reassigns Medicare benefits to Russell Hospital Corporation (Alexander City, AL). The 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 Kayla Tidwell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kayla Tidwell accept?
Health plans from Blue Cross and Blue Shield of Alabama and UnitedHealthcare list Kayla 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 Kayla Tidwell was last updated on December 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Mrs. Kayla Kizziah Tidwell, CRNP · NPI 1174020929
Family physician in Alexander City, Alabama. Individual provider, active in the CMS NPPES registry since April 9, 2018.
## Identity
- **NPI:** 1174020929 (Entity type: Individual)
- **Enumerated:** April 9, 2018
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 1-145314 (Alabama)
- **Sole proprietor:** No
## Practice location
- **Address:** 3316 HIGHWAY 280, Alexander City, AL 35010-3369
- **Phone:** (256) 329-7100
## 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:** Russell Hospital Corporation (NPI 1811913460, Alexander City, AL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** December 26, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1174020929) · Data from the CMS NPPES public registry.