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

Q: 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.

Q: What is Kathleen Tidwell's specialty?

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

Q: 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.

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: August 02, 2026.

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

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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

Phone(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

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Other Names 1

Former Name (1)Kathleen Armstrong

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.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)

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.

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.

OLIVIA EDWARDS RN

Registered Nurse