MRS. KAYLA KIZZIAH TIDWELL (CRNP) – Family Nurse Practitioner, NPI 1174020929
Family Nurse Practitioner
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
5,653 NURSE PRACTITIONER in AL
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Provider Addresses for MRS. KAYLA KIZZIAH TIDWELL (CRNP)
52 CARLA DR
DADEVILLE, AL 368536143
Phone: (256) 307-8956
Type: Mailing
1034 S TALLASSEE ST
DADEVILLE, AL 368531844
Phone: (256) 825-9900
Type: Mailing
280, Alexander Road, Oreti Community, Southland District, Southland, New Zealand
ALEXANDER CITY, AL 350103369
Phone: (256) 329-7100
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 21 Open Payments records for all available years, with a total value of $497.
Total Amount is formed as General ($497) + Research ($0) + Ownership ($0) = $497.
Last reported payment date: 2024-11-05 • Largest payer in this snapshot: Radius Health, Inc. ($101).
Total Amount
$497
General + Research + Ownership
Payments
21
Total payment records
General Amount
$497
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Radius Health, Inc. | $101 |
| AstraZeneca Pharmaceuticals LP | $94 |
| Astellas Pharma US Inc | $90 |
| PFIZER INC. | $25 |
| ABBVIE INC. | $25 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2020-05-20
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200520003581 | I | Nurse Practitioner | AL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 36853)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Radiation Oncology | AL | |
| Nurse Practitioner | AL | |
| Internal Medicine, Endocrinology | NJ | |
| Nurse Practitioner | AL | |
| Nurse Practitioner | AL | |
| General Surgery | NY | |
| Family Practice | AL | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | AL | |
| - | AL |
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