KRISTIN TIDWELL (APRN, FNP-C) – Family Nurse Practitioner, NPI 1396418679
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,299 NURSE PRACTITIONER in OK
Provider Addresses for KRISTIN TIDWELL (APRN, FNP-C)
10488 S 86TH EAST AVE
TULSA, OK 741337084
Phone:
Type: Mailing
1008 W TAFT AVE
SAPULPA, OK 740668720
Phone: (918) 347-8090
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 22 Open Payments records for all available years, with a total value of $696.
Total Amount is formed as General ($696) + Research ($0) + Ownership ($0) = $696.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Averitas Pharma Inc. ($561).
Total Amount
$696
General + Research + Ownership
Payments
22
Total payment records
General Amount
$696
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Averitas Pharma Inc. | $561 |
| Pharmacosmos Therapeutics Inc. | $87 |
| SCILEX PHARMACEUTICALS INC. | $49 |
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: 2021-08-26
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 |
|---|---|---|---|---|
| I20210826003373 | I | Nurse Practitioner | OK | 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 |
|---|---|---|---|---|
| J1955 | Injection, levocarnitine, per 1 gm | 6,048 | 231 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 6,034 | 231 | $0 |
| J3415 | Injection, pyridoxine hcl, 100 mg | 6,020 | 231 | $0 |
| J3411 | Injection, thiamine hcl, 100 mg | 5,980 | 231 | $0 |
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 1,410 | 218 | $0 |
Insurance plans in this area (ZIP 74133)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OK | |
| Nurse Practitioner | OK | |
| Physician Assistant | OK | |
| - | OK | |
| Nurse Practitioner | OK |
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