GRACE TIDWELL MD
NPI 1437579786
Family Medicine in West Sacramento, CA
About Grace Tidwell Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GRACE TIDWELL MD (NPI 1437579786) is an individual family medicine provider in West Sacramento, California, licensed in California (160389) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS and is a graduate of University Of South Florida College Of Medicine (2014).
NPPES Registry Identity
Specialties & Licenses
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
Grace Tidwell Md 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.
Medicare Billing Reassignment
Medicare enrollment records show Grace Tidwell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Sacramento, CA 95814
- Reassigned Medicare billing, California enrollment
- 68 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 4
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95691 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
WEST SACRAMENTO, CA 95691
W SACRAMENTO, CA 95691
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 Grace Tidwell's NPI number?
The NPI number for Grace Tidwell is 1437579786. It was assigned to this individual provider in the NPPES registry on April 24, 2014.
Where is Grace Tidwell located?
Grace Tidwell practices at 155 15th St Ste A, West Sacramento, CA 95691. The listed phone number is (916) 454-2345.
What is Grace Tidwell's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Grace Tidwell enrolled in Medicare?
Yes. Grace 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 organization bills Medicare for Grace Tidwell's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Grace Tidwell reassigns Medicare benefits to Cares Community Health (Sacramento, CA). 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 Grace Tidwell'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 Grace Tidwell was last updated on December 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Grace Tidwell, MD · NPI 1437579786
Family Medicine physician in West Sacramento, California. Individual provider, active in the CMS NPPES registry since April 24, 2014.
## Identity
- **NPI:** 1437579786 (Entity type: Individual)
- **Enumerated:** April 24, 2014
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 160389 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 155 15TH ST STE A, West Sacramento, CA 95691-3737
- **Phone:** (916) 454-2345 · **Fax:** (916) 457-2667
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Cares Community Health (NPI 1447297379, Sacramento, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of South Florida College Of Medicine, class of 2014
## Record status
- **NPPES last updated:** December 2, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1437579786) · Data from the CMS NPPES public registry.