SANDRA L TIDWELL ARNP
NPI 1366404337
Nurse Practitioner - Adult Health in Spokane, WA

Q: What is Sandra Tidwell's NPI number?

The NPI number for Sandra Tidwell is 1366404337. It was assigned to this individual provider in the NPPES registry on April 5, 2006.

Q: What is Sandra Tidwell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Sandra Tidwell was last updated on November 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since April 05, 2006PECOS EnrolledAccepts Medicare Assignment

62 W 7TH AVE STE 420, SPOKANE, WA 99204(509) 626-9440 Get Directions Write a Review

NPPES record last updated: November 26, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 26, 2025, Mar 10, 2023, Apr 8, 2021 (3 updates tracked since 2021).

On this page

About Sandra L Tidwell Arnp NPPES

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

SANDRA L TIDWELL ARNP (NPI 1366404337) is an individual adult health provider in Spokane, Washington, licensed in Washington (AP30004105) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1366404337

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameSANDRA L TIDWELLCredential: ARNP

Location Address62 W 7TH AVE STE 420Spokane, WA 99204-2321

Mailing AddressPo Box 31001-4114Pasadena, CA 91110-0001 · (866) 747-2455

Phone(509) 626-9440

Sole ProprietorNo

Medical School CMSOtherGraduated 1995

Enumeration DateApril 5, 2006

Last NPPES UpdateNovember 26, 20253 updates tracked since enumeration

NPPES CertifiedNovember 26, 2025

✔ NPI 1366404337 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in WA · AP30004105

Also ListedNurse PractitionerTaxonomy 363L00000X · License AP30004105 (WA)

62 W 7TH AVE STE 420, Spokane, WA 99204

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, 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

Sandra L Tidwell Arnp 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 ID1951437235

PECOS Enrollment IDI20100325000497

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 3

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

71 services71 patients

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.

56 services42 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

37 services30 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99204 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

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

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. LUKE XIAOLI ZHAN M.D., PH.D.

Surgery (Vascular Surgery)