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CRYSTAL C TIDWELL DO
NPI 1275974909
Pediatrics in Santa Rosa Beach, FL

Active since July 10, 2013PECOS Enrolled
23 MACK BAYOU LOOP, STE 200, SANTA ROSA BEACH, FL 32459(850) 278-3920(850) 278-3919 Get Directions Write a Review

NPPES record last updated: September 23, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 23, 2016, Mar 21, 2016 (2 updates tracked since 2016).

About Crystal C Tidwell Do NPPES

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

CRYSTAL C TIDWELL DO (NPI 1275974909) is an individual pediatrics provider in Santa Rosa Beach, Florida, licensed in Florida (OS14104) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275974909
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameCRYSTAL C TIDWELLCredential: DO
Location Address23 MACK BAYOU LOOP, STE 200Santa Rosa Beach, FL 32459-2606
Mailing AddressPo Box 2699, Attn: Shmg/hpePensacola, FL 32513-2699 · (850) 278-3920 · Fax (850) 278-3919
Phone(850) 278-3920
Fax(850) 278-3919
Sole ProprietorNo
Enumeration DateJuly 10, 2013
Last NPPES UpdateSeptember 23, 20162 updates tracked since enumeration
✔ NPI 1275974909 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in FL · OS14104
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
23 MACK BAYOU LOOP, Santa Rosa Beach, FL 32459
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Crystal C Tidwell Do 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 32459 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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 8

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

DR. TIFFANY LAINE VROON M.D.
Pediatrics
23 MACK BAYOU LOOP, SUITE 200
SANTA ROSA BEACH, FL 32459
Walton County (850) 278-3920
LUIS FERNANDO GOMEZ M.D.
Pediatrics
23 MACK BAYOU LOOP, SUITE 200
SANTA ROSA BEACH, FL 32459
Walton County (850) 278-3920
SNEHAL DESAI MD
Internal Medicine (Gastroenterology)
23 MACK BAYOU LOOP
SANTA ROSA BEACH, FL 32459
Walton County (850) 390-4540
MRS. JORDAN ZEMIS MILES PA-C
Physician Assistant (Medical)
23 MACK BAYOU LOOP
SANTA ROSA BEACH, FL 32459
Walton County (850) 390-4540
DR. RICKEY J VIATOR M.D.
Pediatrics
23 MACK BAYOU LOOP, SUITE 200
SANTA ROSA BEACH, FL 32459
Walton County (850) 278-3920
DR. STEPHEN PATRICK BOLDUC M.D.
Pediatrics
23 MACK BAYOU LOOP, SUITE 200
SANTA ROSA BEACH, FL 32459
Walton County (850) 278-3920
DR. KANE ETHAN EDWARDS MD
Internal Medicine (Gastroenterology)
23 MACK BAYOU LOOP
SANTA ROSA BEACH, FL 32459
Walton County (850) 390-4540
DR. JACOB MICHAEL FEAGANS MD
Internal Medicine (Gastroenterology)
23 MACK BAYOU LOOP
SANTA ROSA BEACH, FL 32459
Walton County (850) 390-4540

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 Crystal Tidwell's NPI number?

The NPI number for Crystal Tidwell is 1275974909. It was assigned to this individual provider in the NPPES registry on July 10, 2013.

Where is Crystal Tidwell located?

Crystal Tidwell practices at 23 Mack Bayou Loop Ste 200, Santa Rosa Beach, FL 32459. The listed phone number is (850) 278-3920.

What is Crystal Tidwell's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Crystal Tidwell enrolled in Medicare?

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

What insurance does Crystal Tidwell accept?

Health plans from Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Molina Healthcare and 1 other insurer list Crystal 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 Crystal Tidwell was last updated on September 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.