JESSICA FRANCES TIDD (PA) – Physician Assistant, NPI 1124699426

JESSICA FRANCES TIDD (PA) is a healthcare provider. based in Truckee, California. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA61757 (CA). The NPI Number for JESSICA FRANCES TIDD (PA) is 1124699426

Main info

Female
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
JESSICA FRANCES TIDD (PA)
NPI
1124699426
Phone
(408) 497-0911
Address
10956 DONNER PASS RD STE 110
Enumeration Date
7 July 2021
Last Update Date
30 November 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2022 (4 years ago)
PAC ID
8022486877
Group Practice PAC ID
0446161335
Professional Enrollment ID
I20221129000633
Address ID
CA961614860TR10956RDXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:4State licenses:1Digital endpointsOther names

1,223 PHYSICIAN ASSISTANT in NV

Provider Addresses for JESSICA FRANCES TIDD (PA)

  • 10956 DONNER PASS RD STE 110

    TRUCKEE, CA 961614860

    Phone: (408) 497-0911

    Type: Mailing

  • PO BOX 2584

    OLYMPIC VALLEY, CA 961462584

    Phone: (408) 497-0911

    Type: Mailing

  • 18600 WEDGE PKWY STE 104

    RENO, NV 895113036

    Phone: (775) 682-8337

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2022-11-29

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20221129000633IPhysician AssistantCATBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes165161$0
99214Established patient office or other outpatient visit, 30-39 minutes158152$0
81002Urinalysis, manual test5755$0
87635Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen4242$0
99442Telephone medical discussion with physician, 11-20 minutes3030$0
View full utilization report →

Insurance plans in this area (ZIP 96161)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0446161335View full group profile
NameSpecialtyState
Physician AssistantCA
General SurgeryCA
-CA
A N E S T H E S I O L O G YAZ
A N E S T H E S I O L O G YNV
Internal MedicineNV
Nurse PractitionerCA
Nurse PractitionerCA
O B S T E T R I C S/ G Y N E C O L O G YNV
-CA

Reviews

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Frequently asked questions

Can I use this page to confirm JESSICA FRANCES TIDD (PA)'s NPI?
Yes. JESSICA FRANCES TIDD (PA) is listed with NPI 1124699426 in the public NPI dataset.
Can I rely on JESSICA FRANCES TIDD (PA) being an active provider?
As of the registry snapshot, JESSICA FRANCES TIDD (PA) is marked active.
What is JESSICA FRANCES TIDD (PA)'s primary classification?
Physician Assistant is the headline specialty for JESSICA FRANCES TIDD (PA) here. Clinical services aligned with this taxonomy classification.
Does JESSICA FRANCES TIDD (PA) list a practice location?
Patients near Truckee, California may find JESSICA FRANCES TIDD (PA) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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