Kathleen Tidwell, - Medicare Nurse Practitioner in Des Moines, IA

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Kathleen Tidwell, is a medicare enrolled "Nurse Practitioner - Family" in Des Moines, Iowa. Her current practice location is 317 6th Ave Ste 400, Des Moines, Iowa. You can reach out to her office (for appointments etc.) via phone at (515) 864-0259.

Kathleen Tidwell is licensed to practice in Tennessee (license number 28938) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1700490166.

Contact Information

Kathleen Tidwell,
317 6th Ave Ste 400,
Des Moines, IA 50309-4108
(515) 864-0259
Not Available

Map and Direction




Provider's Profile

Full NameKathleen Tidwell
GenderFemale
SpecialityNurse Practitioner - Family
Location317 6th Ave Ste 400, Des Moines, Iowa
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1700490166
  • Provider Enumeration Date: 09/03/2020
  • Last Update Date: 04/28/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6406261692
  • Enrollment ID: I20210222000908

Medical Identifiers

Medical identifiers for Kathleen Tidwell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700490166NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 28938 (Tennessee)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kathleen Tidwell allows following entities to bill medicare on her behalf.
Entity NameSaint Thomas Medical Partners
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437194669
PECOS PAC ID: 1557269354
Enrollment ID: O20031230000470
Entity NameSaint Thomas Hickman Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245275254
PECOS PAC ID: 7315855368
Enrollment ID: O20040115000449
Entity NameMonogram Health Professional Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134739089
PECOS PAC ID: 4880004183
Enrollment ID: O20201027002061

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kathleen Tidwell is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kathleen Tidwell,
317 6th Ave Ste 400,
Des Moines, IA 50309-4108

Ph: (515) 864-0259		Kathleen Tidwell,
317 6th Ave Ste 400,
Des Moines, IA 50309-4108

Ph: (515) 864-0259

Reviews and Comments


Nurse Practitioner Nurses in Des Moines, IA

Rachael M. Doty, ARNP
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Practice Location: 411 Laurel St Ste A120, Des Moines, IA 50314
Phone: 515-643-7900    Fax: 515-643-7901
Rebecca Rae Johansen, NP-C
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Practice Location: 1215 Pleasant St Ste 308, Des Moines, IA 50309
Phone: 515-241-4325    
Melissa Batt, ARNP
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Practice Location: 411 Laurel St Ste 3262, Des Moines, IA 50314
Phone: 515-643-5100    Fax: 515-643-5150
Jamie Lynn Piotrowski, NP-C
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Practice Location: 1200 Pleasant St, Des Moines, IA 50309
Phone: 515-524-1621    
Maksim Blidchenko, ARNP
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Practice Location: 411 Laurel St Ste A250, Des Moines, IA 50314
Phone: 515-235-5000    Fax: 515-288-6713
Tabetha Tara Schroder, NP-C
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Practice Location: 3600 30th St, Des Moines, IA 50310
Phone: 515-669-7108    
Rachel Selleck Adams, NP
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Medicare: Not Enrolled in Medicare
Practice Location: 400 Locust St Ste 400, Des Moines, IA 50309
Phone: 888-256-3814    Fax: 888-256-9054

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.