KATHLEEN TIDWELL
NPI 1700490166
Nurse Practitioner - Family in Des Moines, IA

Active since September 03, 2020PECOS Enrolled
317 6TH AVE STE 400, DES MOINES, IA 50309(515) 864-0259 Get Directions Write a Review

NPPES record last updated: April 28, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 19, 2022, Jan 19, 2022, Dec 15, 2021 and 3 more (6 updates tracked since 2020).

About Kathleen Tidwell NPPES

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

KATHLEEN TIDWELL (NPI 1700490166) is an individual family provider in Des Moines, Iowa, licensed in Tennessee (28938) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700490166
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKATHLEEN TIDWELL
Location Address317 6TH AVE STE 400Des Moines, IA 50309-4108
Mailing Address317 6th Ave Ste 400Des Moines, IA 50309-4108 · (515) 864-0259
Sole ProprietorNo
Enumeration DateSeptember 3, 2020
Last NPPES UpdateApril 28, 20236 updates tracked since enumeration
NPPES CertifiedApril 28, 2023
✔ NPI 1700490166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TN · 28938
317 6TH AVE STE 400, Des Moines, IA 50309

Other Names 1

Former Name (1)Kathleen Armstrong

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kathleen Tidwell 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 Billing Reassignments

7

Medicare enrollment records show Kathleen Tidwell reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinic/Center
7300 W 110TH ST STE 700
Overland Park, KS 66210
  • Reassigned Medicare billing, Tennessee enrollment
  • 2 clinicians in this Medicare group
Clinic/Center
100 W BIG BEAVER RD STE 200
Troy, MI 48084
  • Reassigned Medicare billing, Ohio and Tennessee enrollments
  • 6 clinicians in this Medicare group
Clinic/Center
325 N SAINT PAUL ST STE 3100
Dallas, TX 75201
  • Reassigned Medicare billing, Tennessee enrollment
  • 2 clinicians in this Medicare group
Multi-Specialty
510 CLINTON SQ
Rochester, NY 14604
  • Reassigned Medicare billing, Tennessee enrollment
  • 2 clinicians in this Medicare group
Clinic/Center
221 RIVER ST STE 9
Hoboken, NJ 07030
  • Reassigned Medicare billing, Maryland, Pennsylvania and Tennessee enrollments
  • 7 clinicians in this Medicare group
Clinic/Center
111 N ORANGE AVE STE 800
Orlando, FL 32801
  • Reassigned Medicare billing, Tennessee enrollment
  • 3 clinicians in this Medicare group
Clinic/Center
1200 WILSHIRE BLVD STE 800
Los Angeles, CA 90017
  • Reassigned Medicare billing, Tennessee enrollment
  • 2 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 50309 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
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.

Registered Nurse
317 6TH AVE STE 400
DES MOINES, IA 50309
Registered Nurse
317 6TH AVE STE 400
DES MOINES, IA 50309
General Practice
317 6TH AVE STE 400
DES MOINES, IA 50309
Nurse Practitioner (Family)
317 6TH AVE STE 400
DES MOINES, IA 50309
Registered Nurse
317 6TH AVE STE 400
DES MOINES, IA 50309
Registered Nurse
317 6TH AVE STE 400
DES MOINES, IA 50309
Emergency Medicine
317 6TH AVE STE 400
DES MOINES, IA 50309
Registered Nurse
317 6TH AVE STE 400
DES MOINES, IA 50309

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 Kathleen Tidwell's NPI number?

The NPI number for Kathleen Tidwell is 1700490166. It was assigned to this individual provider in the NPPES registry on September 3, 2020. The provider is also known as Kathleen Armstrong.

Where is Kathleen Tidwell located?

Kathleen Tidwell practices at 317 6th Ave Ste 400, Des Moines, IA 50309. The listed phone number is (515) 864-0259.

What is Kathleen Tidwell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kathleen Tidwell enrolled in Medicare?

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

Which organizations bill Medicare for Kathleen Tidwell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Tidwell reassigns Medicare benefits to 7 organizations: Lifemd Kansas Patient Medical Care PA (Overland Park, KS), Lifemd Midwest Patient Medical Care PC (Troy, MI), Lifemd South Central Patient Medical Care PA (Dallas, TX), New York Patient Medical Care PC (Rochester, NY), Lifemd Atlantic Patient Medical Care PC (Hoboken, NJ) and 2 more organizations, listed in the Medicare section above. Each 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 Kathleen Tidwell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kathleen Tidwell accept?

Health plans from Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Texas list Kathleen 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 Kathleen Tidwell was last updated on April 28, 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.