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ELISE ALEXANDRA TIDWELL MD
NPI 1245916766
Obstetrics & Gynecology in Omaha, NE

Active since June 27, 2023PECOS Enrolled
7710 MERCY RD STE 202, OMAHA, NE 68124(402) 280-4438 Get Directions Write a Review

NPPES record last updated: June 27, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Elise Alexandra Tidwell Md NPPES

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

ELISE ALEXANDRA TIDWELL MD (NPI 1245916766) is an individual obstetrics & gynecology provider in Omaha, Nebraska, licensed in Nebraska (9641) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245916766
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameELISE ALEXANDRA TIDWELLCredential: MD
Location Address7710 MERCY RD STE 202Omaha, NE 68124-2353
Mailing Address7710 Mercy Rd Ste 202Omaha, NE 68124-2353
Phone(402) 280-4438
Sole ProprietorNo
Enumeration DateJune 27, 2023
NPPES CertifiedJune 27, 2023
✔ NPI 1245916766 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in NE · 9641
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
7710 MERCY RD STE 202, Omaha, NE 68124
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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)

Elise Alexandra Tidwell Md 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 68124 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
$121.35 typical visit price
range $52.69 – $160.21
Typical copayment $30.33 (range $13.17 – $40.05)
Most-billed visit code 99204
Established Patient
$66.00 typical visit price
range $16.90 – $131.25
Typical copayment $16.50 (range $4.22 – $32.81)
Most-billed visit code 99213
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 20

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

JENNIFER MARIE BURGART MD
Obstetrics & Gynecology
7710 MERCY RD STE 202
OMAHA, NE 68124
Douglas County (402) 280-4438
THEODORE NGUYEN MD
Internal Medicine
7710 MERCY RD STE 202
OMAHA, NE 68124
Douglas County (402) 280-4392
MANMEET SINGH SAHNI MD
Family Medicine
7710 MERCY RD STE 202
OMAHA, NE 68124
Douglas County (402) 280-4318
ANYSHA KAUR MATTU MD
Family Medicine
7710 MERCY RD STE 202
OMAHA, NE 68124
Douglas County (402) 280-4318
DR. STEPHEN PAUL TOTH MD
Hospitalist
7710 MERCY RD STE 202
OMAHA, NE 68124
Douglas County (402) 280-4392
NAIMAT ULLAH ABDUL RAHIM MBBS
Internal Medicine
7710 MERCY RD STE 202, CU DEPARTMENT OF INTERNAL MEDICINE
OMAHA, NE 68124
Douglas County (402) 280-4210
DR. KEVIN MICHAEL MCMAHON MD
Surgery
7710 MERCY RD STE 202
OMAHA, NE 68124
Douglas County (402) 280-4669
MATTHEW DALE MD, PHD
Surgery
7710 MERCY RD STE 202
OMAHA, NE 68124
Douglas County (402) 717-4900

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 Elise Tidwell's NPI number?

The NPI number for Elise Tidwell is 1245916766. It was assigned to this individual provider in the NPPES registry on June 27, 2023.

Where is Elise Tidwell located?

Elise Tidwell practices at 7710 Mercy Rd Ste 202, Omaha, NE 68124. The listed phone number is (402) 280-4438.

What is Elise Tidwell's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Elise Tidwell enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Elise Tidwell was last updated on June 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.