1. Home
  2. Directory
  3. California
  4. Folsom
  5. Nurse Practitioner
  6. NPI Profile

ERICA MAE TIDIANE
NPI 1205407095
Nurse Practitioner - Psychiatric/Mental Health in Folsom, CA

Active since July 02, 2021PECOS EnrolledAccepts Medicare Assignment
950 GLENN DR STE 235, FOLSOM, CA 95630(916) 209-0533(916) 209-4056 Get Directions Write a Review

NPPES record last updated: October 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 6, 2023, Dec 2, 2021, Nov 12, 2021 and 1 more (4 updates tracked since 2021).

About Erica Mae Tidiane NPPES

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

ERICA MAE TIDIANE (NPI 1205407095) is an individual psychiatric/mental health provider in Folsom, California, licensed in California (95019105) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1205407095
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameERICA MAE TIDIANE
Location Address950 GLENN DR STE 235Folsom, CA 95630-3193
Mailing Address950 Glenn Dr Ste 235Folsom, CA 95630-3193 · (916) 209-0533 · Fax (916) 209-4056
Phone(916) 209-0533
Fax(916) 209-4056
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateJuly 2, 2021
Last NPPES UpdateOctober 24, 20254 updates tracked since enumeration
NPPES CertifiedOctober 24, 2025
✔ NPI 1205407095 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 · 95019105
950 GLENN DR STE 235, Folsom, CA 95630
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

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

Erica Mae Tidiane 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 ID2860881398
PECOS Enrollment IDI20211122002620
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 95630 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
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
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 5

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

KSENIA VORONINA M.D.
Psychiatry & Neurology (Psychiatry)
950 GLENN DR STE 235
FOLSOM, CA 95630
Sacramento County (916) 209-0533
MOLLY MCKEEN PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
950 GLENN DR STE 235
FOLSOM, CA 95630
Sacramento County (916) 990-9159
BRIAN PAUL GARRETT M.D., O.D.
Psychiatry & Neurology (Psychiatry)
950 GLENN DR STE 235
FOLSOM, CA 95630
Sacramento County (916) 990-9159
XIAOFENG YAN MD, PHD
Psychiatry & Neurology (Psychiatry)
950 GLENN DR STE 235
FOLSOM, CA 95630
Sacramento County (916) 209-0533
NORCAL NEUROSTIMULATION
Psychiatry & Neurology (Psychiatry)
950 GLENN DR STE 235
FOLSOM, CA 95630
Sacramento County (916) 209-0533

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 Erica Tidiane's NPI number?

The NPI number for Erica Tidiane is 1205407095. It was assigned to this individual provider in the NPPES registry on July 2, 2021.

Where is Erica Tidiane located?

Erica Tidiane practices at 950 Glenn Dr Ste 235, Folsom, CA 95630. The listed phone number is (916) 209-0533.

What is Erica Tidiane's specialty?

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

Is Erica Tidiane enrolled in Medicare?

Yes. Erica Tidiane 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.

What insurance does Erica Tidiane accept?

Health plans from Providence Health Plan list Erica Tidiane 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 Erica Tidiane was last updated on October 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.