TIFFANY TENEAL TIDWELL (CRNA) – Certified Registered Nurse Anesthetist, NPI 1255603932
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
1,775 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MO
Provider Addresses for TIFFANY TENEAL TIDWELL (CRNA)
210 Portland St Ste 100
Columbia, MO 652016677
Phone: (573) 777-8818
Fax: (573) 777-8819
Type: Location
ONE HOSPITAL DRIVE
COLUMBIA, MO 652120001
Phone: (573) 882-2568
Fax: (573) 882-2226
Type: Location
PO BOX 843966
KANSAS CITY, MO 641843966
Phone: (573) 882-3974
Fax: (573) 884-0943
Type: Mailing
1 HOSPITAL DR
COLUMBIA, MO 652120001
Phone: (573) 882-2568
Fax: (573) 882-2226
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $142.
Total Amount is formed as General ($142) + Research ($0) + Ownership ($0) = $142.
Last reported payment date: 2023-11-29 • Largest payer in this snapshot: Cumberland Pharmaceuticals, Inc. ($127).
Total Amount
$142
General + Research + Ownership
Payments
2
Total payment records
General Amount
$142
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-29
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Cumberland Pharmaceuticals, Inc. | $127 |
| Merck Sharp & Dohme LLC | $15 |
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: 2012-04-23
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 |
|---|---|---|---|---|
| I20120423000479 | I | Certified Registered Nurse Anesthetist (Crna) | MO | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 01402 | Anesthesia for procedure for total knee joint replacement | 23 | 23 | $0 |
| 01214 | Anesthesia for total hip replacement | 16 | 16 | $0 |
Insurance plans in this area (ZIP 65201)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CERTIFIED REGISTERED NURSE ANESTHET | MO | 01402 | Anesthesia for open or endoscopic total knee joint replacement | 17 | 17 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Neuropsychiatry, Neurology | MO | |
| Certified Registered Nurse Anesthetist (Crna) | MO | |
| Diagnostic Radiology | MO | |
| Diagnostic Radiology | MO | |
| Internal Medicine | MO | |
| Family Practice | MO | |
| Neuropsychiatry, Neurology | MO | |
| - | MO | |
| A L L E R G Y/ I M M U N O L O G Y | WA | |
| Nurse Practitioner | MO |
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