REBEKAH JO TIDWELL (APRN) – Family Nurse Practitioner, NPI 1194476218
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
10,664 NURSE PRACTITIONER in TN
Provider Addresses for REBEKAH JO TIDWELL (APRN)
930 ADELL REE PARK LN
KNOXVILLE, TN 379092543
Phone: (865) 769-2600
Type: Location
934 S LAUREL RD
LONDON, KY 407446314
Phone: (606) 657-2030
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 89 Open Payments records for all available years, with a total value of $1,767.
Total Amount is formed as General ($1,767) + Research ($0) + Ownership ($0) = $1,767.
Last reported payment date: 2024-12-09 • Largest payer in this snapshot: ABBVIE INC. ($677).
Total Amount
$1,767
General + Research + Ownership
Payments
89
Total payment records
General Amount
$1,767
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $677 |
| Gilead Sciences, Inc. | $351 |
| Braeburn Inc. | $215 |
| Alkermes, Inc. | $145 |
| PFIZER INC. | $132 |
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: 2025-06-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20240716003170 | I | Nurse Practitioner | TN | TBD |
| I20250604000656 | I | Nurse Practitioner | KY | 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 37909)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | KY | |
| Nurse Practitioner | KY | |
| Nurse Practitioner | KY | |
| Nurse Practitioner | KY | |
| Family Practice | KY | |
| Nurse Practitioner | KY | |
| Diagnostic Radiology | KY | |
| Mental Health Counselor | KY | |
| Mental Health Counselor | KY |
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