MS. TONYA JEAN TIDWELL PA-C
NPI 1558660472
Physician Assistant in Mankato, MN

Q: What is Tonya Tidwell's NPI number?

The NPI number for Tonya Tidwell is 1558660472. It was assigned to this individual provider in the NPPES registry on March 17, 2011.

Q: What is Tonya Tidwell's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Tonya Tidwell was last updated on January 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 March 17, 2011PECOS Enrolled

1025 MARSH ST, MANKATO, MN 56001(507) 625-4031 Get Directions Write a Review

NPPES record last updated: January 30, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 18, 2020, Jun 11, 2019, Apr 9, 2018 (3 updates tracked since 2018).

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About Ms. Tonya Jean Tidwell Pa-c NPPES

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

MS. TONYA JEAN TIDWELL PA-C (NPI 1558660472) is an individual physician assistant in Mankato, Minnesota, licensed in Minnesota (10988) and active in the NPI registry since March 2011. She is enrolled in Medicare PECOS and maintains a secondary practice location in Rochester.

NPPES Registry Identity

NPI1558660472

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMS. TONYA JEAN TIDWELLCredential: PA-C

Location Address1025 MARSH STMankato, MN 56001

Mailing Address1025 Marsh StMankato, MN 56001-4752 · (507) 625-4031

Phone(507) 625-4031

Sole ProprietorNo

Enumeration DateMarch 17, 2011

Last NPPES UpdateJanuary 30, 20243 updates tracked since enumeration

NPPES CertifiedJanuary 30, 2024

✔ NPI 1558660472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in MN · 10988

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1025 MARSH ST, Mankato, MN 56001

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Secondary Practice Location 1

Location 1200 1st St SWRochester, MN 55905-0001 · Phone (507) 284-2511

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Tonya Jean Tidwell Pa-c 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 56001 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

Most-billed visit code 99213

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.

KRISTIN MARIE CLIFFORD CNP

Nurse Practitioner