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JACOB BIDWELL
NPI 1740634161
Pediatrics - Pediatric Critical Care Medicine in Tucson, AZ

Active since April 21, 2016PECOS Enrolled
5301 E GRANT RD, TUCSON, AZ 85712(520) 327-5461 Get Directions Write a Review

NPPES record last updated: May 27, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jacob Bidwell NPPES

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

JACOB BIDWELL (NPI 1740634161) is an individual pediatric critical care medicine provider in Tucson, Arizona, licensed in Arizona (57981) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740634161
Entity TypeIndividualMale
Primary Taxonomy2080P0203X
Provider Legal NameJACOB BIDWELL
Location Address5301 E GRANT RDTucson, AZ 85712-2805
Mailing Address5301 E Grant RdTucson, AZ 85712-2805
Phone(520) 327-5461
Sole ProprietorNo
Enumeration DateApril 21, 2016
Last NPPES UpdateMay 27, 2023
NPPES CertifiedMay 27, 2023
✔ NPI 1740634161 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
License✔ Licensed in AZ · 57981
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
5301 E GRANT RD, Tucson, AZ 85712
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Antidote Health Plan of Arizona, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacob Bidwell 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 Reassignment

Medicare enrollment records show Jacob Bidwell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Tmc Medical Network
Same address
Multi-Specialty
5301 E GRANT RD
Tucson, AZ 85712
  • Reassigned Medicare billing, Arizona enrollment
  • 471 clinicians in this Medicare group
NPI 1750832283 (520) 327-5461

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

HOLLY JEANNE GRAHAM M.D.
Anesthesiology
5301 E GRANT RD, THMEP
TUCSON, AZ 85712
Pima County (520) 324-5095
SAMANTHA PENN PHARMD
Pharmacist
5301 E GRANT RD
TUCSON, AZ 85712
Pima County (520) 324-5122
DR. VICTOR HUGO RUIZ PHARMD
Student in an Organized Health Care Education/Training Program
5301 E GRANT RD
TUCSON, AZ 85712
Pima County (520) 324-2516
SARA PETTEY SANDIFER MD
Student in an Organized Health Care Education/Training Program
5301 E GRANT RD
TUCSON, AZ 85712
Pima County (520) 324-5095
JOSHUA LEE M.D.
Internal Medicine
5301 E GRANT RD
TUCSON, AZ 85712
Pima County (520) 324-5524
VANESSA LYNN PORTOR RN
Registered Nurse (Lactation Consultant)
5301 E GRANT RD
TUCSON, AZ 85712
Pima County (520) 324-5730
MRS. KRISTY BELONE FNP-C
Nurse Practitioner (Family)
5301 E GRANT RD
TUCSON, AZ 85712
Pima County (520) 324-5461
LORRAINE Y YENTZER AGACNP
Nurse Practitioner (Gerontology)
5301 E GRANT RD
TUCSON, AZ 85712
Pima County (520) 327-5461

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 Jacob Bidwell's NPI number?

The NPI number for Jacob Bidwell is 1740634161. It was assigned to this individual provider in the NPPES registry on April 21, 2016.

Where is Jacob Bidwell located?

Jacob Bidwell practices at 5301 E Grant Rd, Tucson, AZ 85712. The listed phone number is (520) 327-5461.

What is Jacob Bidwell's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Jacob Bidwell enrolled in Medicare?

Yes. Jacob Bidwell is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jacob Bidwell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Bidwell reassigns Medicare benefits to Tmc Medical Network (Tucson, AZ). 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 Jacob Bidwell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacob Bidwell accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona and Cigna HealthCare of Arizona, Inc list Jacob Bidwell 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 Jacob Bidwell was last updated on May 27, 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.