SAMANTHA ELIZABETH TIDWELL PA-C
NPI 1699237073
Physician Assistant - Surgical in Denver, CO

Active since April 03, 2019PECOS Enrolled
90.38/100
CMS Quality Rating
2055 N HIGH ST STE 130, DENVER, CO 80205(303) 861-2663 Get Directions Write a Review

NPPES record last updated: June 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 6, 2025, Jul 21, 2023, May 12, 2023 and 5 more (8 updates tracked since 2019).

About Samantha Elizabeth Tidwell Pa-c NPPES

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

SAMANTHA ELIZABETH TIDWELL PA-C (NPI 1699237073) is an individual surgical provider in Denver, Colorado, licensed in Colorado (PA.0008969) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699237073
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameSAMANTHA ELIZABETH TIDWELLCredential: PA-C
Location Address2055 N HIGH ST STE 130Denver, CO 80205-5504
Mailing Address2055 N High St Ste 130Denver, CO 80205-5504 · (303) 861-2663
Sole ProprietorNo
Enumeration DateApril 3, 2019
Last NPPES UpdateJune 6, 20258 updates tracked since enumeration
NPPES CertifiedJune 6, 2025
NPI 1699237073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in CO · PA.0008969
2055 N HIGH ST STE 130, Denver, CO 80205

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Samantha Elizabeth 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

90.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.09
Promoting Interoperability100
Improvement Activities40
Cost56.12

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.

Orthopaedic Surgery
2055 N HIGH ST STE 130
DENVER, CO 80205
Orthopaedic Surgery (Hand Surgery)
2055 N HIGH ST STE 130
DENVER, CO 80205
Pediatrics
2055 N HIGH ST STE 130
DENVER, CO 80205
Occupational Therapist
2055 N HIGH ST STE 130
DENVER, CO 80205
Physician Assistant (Surgical)
2055 N HIGH ST STE 130
DENVER, CO 80205
Pediatrics (Sports Medicine)
2055 N HIGH ST STE 130
DENVER, CO 80205
Physician Assistant
2055 N HIGH ST STE 130
DENVER, CO 80205
Physician Assistant (Surgical)
2055 N HIGH ST STE 130
DENVER, CO 80205

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 Samantha Tidwell's NPI number?

The NPI number for Samantha Tidwell is 1699237073. It was assigned to this individual provider in the NPPES registry on April 3, 2019.

Where is Samantha Tidwell located?

Samantha Tidwell practices at 2055 N High St Ste 130, Denver, CO 80205. The listed phone number is (303) 861-2663.

What is Samantha Tidwell's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Samantha Tidwell enrolled in Medicare?

Yes. Samantha Tidwell is registered in the Medicare PECOS enrollment system.

What insurance does Samantha Tidwell accept?

Health plans from UnitedHealthcare list Samantha Tidwell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Samantha Tidwell was last updated on June 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.