REBEKAH JO TIDWELL APRN
NPI 1194476218
Nurse Practitioner - Family in London, KY

Active since January 11, 2022PECOS EnrolledAccepts Medicare Assignment
934 S LAUREL RD, LONDON, KY 40744(606) 657-2030 Get Directions Write a Review

NPPES record last updated: May 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 15, 2025, Jan 11, 2022 (2 updates tracked since 2022).

About Rebekah Jo Tidwell Aprn NPPES

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

REBEKAH JO TIDWELL APRN (NPI 1194476218) is an individual family provider in London, Kentucky, licensed in Tennessee (31028) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1194476218
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameREBEKAH JO TIDWELLCredential: APRN
Location Address934 S LAUREL RDLondon, KY 40744-6314
Mailing Address930 Adell Ree Park LnKnoxville, TN 37909-2543
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJanuary 11, 2022
Last NPPES UpdateMay 15, 20252 updates tracked since enumeration
NPPES CertifiedMay 14, 2025
NPI 1194476218 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
Licenses Licensed in TN · 31028 Licensed in KY · 4035393
934 S LAUREL RD, London, KY 40744

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Rebekah Jo Tidwell 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.

PECOS PAC ID3476098294
PECOS Enrollment IDI20250604000656
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

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 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.
67 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40744 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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 3

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

Counselor (Mental Health)
934 S LAUREL RD
LONDON, KY 40744
Clinic/Center (Rural Health)
934 S LAUREL RD
LONDON, KY 40744
Counselor (Professional)
934 S LAUREL RD
LONDON, KY 40744

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 Rebekah Tidwell's NPI number?

The NPI number for Rebekah Tidwell is 1194476218. It was assigned to this individual provider in the NPPES registry on January 11, 2022.

Where is Rebekah Tidwell located?

Rebekah Tidwell practices at 934 S Laurel Rd, London, KY 40744. The listed phone number is (606) 657-2030.

What is Rebekah Tidwell's specialty?

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

Is Rebekah Tidwell enrolled in Medicare?

Yes. Rebekah 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.

When was this NPI record last updated?

The NPPES record for Rebekah Tidwell was last updated on May 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.