DEBRA LYNN TIDQUIST APRN-BC
NPI 1841398765
Nurse Practitioner - Family in Whitehall, WI

Q: What is Debra Tidquist's NPI number?

The NPI number for Debra Tidquist is 1841398765. It was assigned to this individual provider in the NPPES registry on September 21, 2006.

Q: What is Debra Tidquist's specialty?

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

Q: Is Debra Tidquist enrolled in Medicare?

No. Debra Tidquist has opted out of Medicare through May 2, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Debra Tidquist was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 21, 2006Opted out of Medicare · through May 2, 2028

18601 LINCOLN ST, WHITEHALL, WI 54773(715) 538-4361(715) 538-2912 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Debra Lynn Tidquist Aprn-bc NPPES

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

DEBRA LYNN TIDQUIST APRN-BC (NPI 1841398765) is an individual family provider in Whitehall, Wisconsin, licensed in Wisconsin (2950-33) and active in the NPI registry since September 2006. She has opted out of Medicare through May 2, 2028.

NPPES Registry Identity

NPI1841398765

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameDEBRA LYNN TIDQUISTCredential: APRN-BC

Location Address18601 LINCOLN STWhitehall, WI 54773-8605

Mailing Address1251 E Wilson AveArcadia, WI 54612-1830 · (608) 323-7005

Phone(715) 538-4361

Fax(715) 538-2912

Sole ProprietorNo

Enumeration DateSeptember 21, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1841398765 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 WI · 2950-33

18601 LINCOLN ST, Whitehall, WI 54773

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Debra Lynn Tidquist Aprn-bc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 2, 2022 through May 2, 2028.

Opt-Out Effective DateMay 2, 2022

Opt-Out In Effect ThroughMay 2, 2028Opt-out affidavits renew automatically every two years unless cancelled

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.

MRS. AMANDA JANE JANKE OTR/L

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