JULIA ANNE TIDIK PMHNP
NPI 1396299525
Nurse Practitioner - Psychiatric/Mental Health in San Luis Obispo, CA
About Julia Anne Tidik Pmhnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JULIA ANNE TIDIK PMHNP (NPI 1396299525) is an individual psychiatric/mental health provider in San Luis Obispo, California, licensed in California (95009437) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Julia Anne Tidik Pmhnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Julia Tidik reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Kent, WA 98032
- Reassigned Medicare billing, Washington enrollment
- 125 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 93401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Julia Tidik's NPI number?
The NPI number for Julia Tidik is 1396299525. It was assigned to this individual provider in the NPPES registry on August 4, 2016.
Where is Julia Tidik located?
Julia Tidik practices at 784 High St, San Luis Obispo, CA 93401. The listed phone number is (805) 540-6500.
What is Julia Tidik's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Julia Tidik enrolled in Medicare?
Yes. Julia Tidik is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Julia Tidik's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Julia Tidik reassigns Medicare benefits to Valley Cities Counseling And Consultation (Kent, WA). The 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 Julia Tidik's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Julia Tidik was last updated on January 11, 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.
# Julia Anne Tidik, PMHNP · NPI 1396299525
Psychiatric/Mental Health physician in San Luis Obispo, California. Individual provider, active in the CMS NPPES registry since August 4, 2016.
## Identity
- **NPI:** 1396299525 (Entity type: Individual)
- **Enumerated:** August 4, 2016
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 95009437 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 784 HIGH ST, San Luis Obispo, CA 93401-5243
- **Phone:** (805) 540-6500
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Valley Cities Counseling And Consultation (NPI 1972668853, Kent, WA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 11, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1396299525) · Data from the CMS NPPES public registry.