TIFFANY TENEAL TIDWELL CRNA
NPI 1255603932
Nurse Anesthetist, Certified Registered in Columbia, MO

Active since January 27, 2012Accepts Medicare Assignment
100/100
CMS Quality Rating
1 HOSPITAL DR, COLUMBIA, MO 65212(573) 882-2568(573) 882-2226 Get Directions Write a Review

NPPES record last updated: December 21, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 21, 2024, Sep 12, 2022 (2 updates tracked since 2022).

About Tiffany Teneal Tidwell Crna NPPES

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

TIFFANY TENEAL TIDWELL CRNA (NPI 1255603932) is an individual nurse anesthetist, certified registered in Columbia, Missouri, licensed in Missouri (2012008233) and active in the NPI registry since January 2012. She is affiliated with Boone Hospital Center, maintains a secondary practice location in Columbia, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1255603932
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameTIFFANY TENEAL TIDWELLCredential: CRNA
Location Address1 HOSPITAL DRColumbia, MO 65212-0001
Mailing AddressPo Box 843966Kansas City, MO 64184-3966 · (573) 882-3974 · Fax (573) 884-0943
Fax(573) 882-2226
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJanuary 27, 2012
Last NPPES UpdateDecember 21, 20242 updates tracked since enumeration
NPPES CertifiedDecember 21, 2024
✔ NPI 1255603932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in MO · 2012008233
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
1 HOSPITAL DR, Columbia, MO 65212

Secondary Practice Location 1

Location 1210 Portland St Ste 100Columbia, MO 65201-6677 · Phone (573) 777-8818 · Fax (573) 777-8819

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

Tiffany Teneal Tidwell Crna 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 ID4981865755
PECOS Enrollment IDI20120423000479

Medicare Billing Reassignments

4

Medicare enrollment records show Tiffany Tidwell reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
1 HOSPITAL DR
Columbia, MO 65212
  • Reassigned Medicare billing, Missouri enrollment
  • 1,395 clinicians in this Medicare group
Anesthesiology
1316 OLD 63 S, SUITE 102
Columbia, MO 65201
  • Reassigned Medicare billing, Missouri enrollment
  • 63 clinicians in this Medicare group
Gastroenterology
210 PORTLAND ST STE 100
Columbia, MO 65201
  • Reassigned Medicare billing, Missouri enrollment
  • 37 clinicians in this Medicare group
Multi-Specialty
1241 W STADIUM BLVD, FIRST FLOOR, SUITE 1100
Jefferson City, MO 65109
  • Reassigned Medicare billing, Missouri enrollment
  • Medicare enrollment name: Jefferson City Medical Group PC
  • 155 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.

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.

Anesthesia for lens surgery 00142
Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.
18 services18 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Boone Hospital Center

Acute Care Hospitals · Columbia, MO
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number260068
Location1600 E BroadwayColumbia, MO 65201 · Boone County
Emergency services Birthing friendly

University Of Missouri Health Care

Acute Care Hospitals · Columbia, MO
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number260141
LocationOne Hospital DriveColumbia, MO 65212 · Boone County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65212 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
$121.96 typical visit price
range $52.28 – $161.24
Typical copayment $30.49 (range $13.07 – $40.31)
Most-billed visit code 99204
Established Patient
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
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.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

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.

Internal Medicine (Clinical Cardiac Electrophysiology)
1 HOSPITAL DR
COLUMBIA, MO 65212
Internal Medicine (Hematology & Oncology)
1 HOSPITAL DR
COLUMBIA, MO 65212
Emergency Medicine
1 HOSPITAL DR
COLUMBIA, MO 65212
Anesthesiology
1 HOSPITAL DR
COLUMBIA, MO 65212
Physician Assistant
1 HOSPITAL DR
COLUMBIA, MO 65212
Orthopaedic Surgery (Orthopaedic Trauma)
1 HOSPITAL DR
COLUMBIA, MO 65212
Psychiatry & Neurology (Neurology)
1 HOSPITAL DR
COLUMBIA, MO 65212
Anesthesiology
1 HOSPITAL DR, DC056.20
COLUMBIA, MO 65212

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 Tiffany Tidwell's NPI number?

The NPI number for Tiffany Tidwell is 1255603932. It was assigned to this individual provider in the NPPES registry on January 27, 2012.

Where is Tiffany Tidwell located?

Tiffany Tidwell practices at 1 Hospital Dr, Columbia, MO 65212. The listed phone number is (573) 882-2568.

What is Tiffany Tidwell's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Tiffany Tidwell enrolled in Medicare?

Yes. Tiffany 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 organizations bill Medicare for Tiffany Tidwell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tiffany Tidwell reassigns Medicare benefits to 4 organizations: The Curators Of The University Of Missouri (Columbia, MO), Mid-America Anesthesia Consultants, PC (Columbia, MO), Gastrointestinal Associates, LLC (Columbia, MO) and Jefferson City Medical Group, P.C. (Jefferson City, MO). Each 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 Tiffany Tidwell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tiffany Tidwell accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 1 other insurer list Tiffany 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.

Is Tiffany Tidwell affiliated with any hospitals?

According to CMS data, Tiffany Tidwell is affiliated with Boone Hospital Center and University Of Missouri Health Care.

When was this NPI record last updated?

The NPPES record for Tiffany Tidwell was last updated on December 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.