JULIA ANNE TIDIK PMHNP
NPI 1396299525
Nurse Practitioner - Psychiatric/Mental Health in San Luis Obispo, CA

Q: 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.

Q: 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.

Q: 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.

Active since August 04, 2016PECOS Enrolled

784 HIGH ST, SAN LUIS OBISPO, CA 93401(805) 540-6500 Get Directions Write a Review

NPPES record last updated: January 11, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 11, 2023, Jan 31, 2019 (2 updates tracked since 2019).

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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

NPI1396299525

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameJULIA ANNE TIDIKCredential: PMHNP

Location Address784 HIGH STSan Luis Obispo, CA 93401-5243

Mailing Address784 High StSan Luis Obispo, CA 93401-5243

Phone(805) 540-6500

Sole ProprietorYes

Enumeration DateAugust 4, 2016

Last NPPES UpdateJanuary 11, 20232 updates tracked since enumeration

NPPES CertifiedJanuary 11, 2023

✔ NPI 1396299525 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

Licenses✔ Licensed in CA · 95009437✔ Licensed in WA · AP60683021

Also ListedRegistered NurseTaxonomy 163W00000X · License RN60469015 (WA), 95157097 (CA)

784 HIGH ST, San Luis Obispo, CA 93401

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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)

Julia Anne Tidik Pmhnp 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 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.

New Patient

$91.64 typical visit price

range $59.84 – $178.89

Typical copayment $22.91 (range $14.96 – $44.72)

Most-billed visit code 99203

Established Patient

$104.82 typical visit price

range $19.70 – $146.55

Typical copayment $26.20 (range $4.92 – $36.63)

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 20

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

RAYMOND SAINT TAVAREZ

Counselor (Mental Health)