JONATHAN TIBALDO FNP-C
NPI 1841647567
Nurse Practitioner in Jersey Village, TX

Q: What is Jonathan Tibaldo's NPI number?

The NPI number for Jonathan Tibaldo is 1841647567. It was assigned to this individual provider in the NPPES registry on May 23, 2016.

Q: What is Jonathan Tibaldo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Jonathan Tibaldo was last updated on June 23, 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.

Active since May 23, 2016PECOS EnrolledAccepts Medicare Assignment

55.66/100

CMS Quality Rating

20320 NORTHWEST FWY STE 400A, JERSEY VILLAGE, TX 77065(346) 345-2092(281) 883-4395 Get Directions Write a Review

NPPES record last updated: June 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 23, 2025, Oct 29, 2020, Aug 11, 2016 (3 updates tracked since 2016).

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About Jonathan Tibaldo Fnp-c NPPES

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

JONATHAN TIBALDO FNP-C (NPI 1841647567) is an individual nurse practitioner in Jersey Village, Texas, licensed in Texas (AP131029) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1841647567

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameJONATHAN TIBALDOCredential: FNP-C

Location Address20320 NORTHWEST FWY STE 400AJersey Village, TX 77065-5620

Mailing AddressPo Box 39077Belfast, ME 04915-1232

Phone(346) 345-2092

Fax(281) 883-4395

Sole ProprietorYes

Medical School CMSOtherGraduated 2016

Enumeration DateMay 23, 2016

Last NPPES UpdateJune 23, 20253 updates tracked since enumeration

NPPES CertifiedJune 23, 2025

✔ NPI 1841647567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in TX · AP131029

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License AP131029 (TX)

20320 NORTHWEST FWY STE 400A, Jersey Village, TX 77065

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Insurance Company, WellPoint.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jonathan Tibaldo Fnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9931494424

PECOS Enrollment IDI20160823001503

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 77065 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

$90.40 typical visit price

range $58.24 – $176.98

Typical copayment $22.60 (range $14.56 – $44.24)

Most-billed visit code 99203

Established Patient

$102.71 typical visit price

range $18.60 – $143.93

Typical copayment $25.67 (range $4.65 – $35.98)

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.

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.

55.66/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

53.68

Improvement Activities

Cost

20.46

Reported Quality Measures

Documentation of Current Medications in the Medical Record

97%190 patients4/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

0%100 patients1/55-star benchmark: 98%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

20%188 patients2/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients screened: 0% · 103 patients

0%103 patients

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 135 patients

Patients totalRate: 3% · 135 patients

3%135 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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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.

DANIEL PINN NP

Nurse Practitioner (Family)