MRS. EUGENIA LEONIDIVNA TIDWELL (MSN, APRN, FNP-C) – Family Nurse Practitioner, NPI 1285369736
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
22,209 NURSE PRACTITIONER in TX
Provider Addresses for MRS. EUGENIA LEONIDIVNA TIDWELL (MSN, APRN, FNP-C)
7585 KITTY HAWK RD STE 201
CONVERSE, TX 781092820
Phone: (210) 468-2333
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 135 Open Payments records for all available years, with a total value of $2,422.
Total Amount is formed as General ($2,422) + Research ($0) + Ownership ($0) = $2,422.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Lilly USA, LLC ($732).
Total Amount
$2,422
General + Research + Ownership
Payments
135
Total payment records
General Amount
$2,422
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 |
|---|---|
| Lilly USA, LLC | $732 |
| Novo Nordisk Inc | $315 |
| GlaxoSmithKline, LLC. | $283 |
| ABBVIE INC. | $254 |
| AstraZeneca Pharmaceuticals LP | $192 |
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: 2022-09-21
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 |
|---|---|---|---|---|
| I20220921000649 | I | Nurse Practitioner | TX | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 242 | 183 | $0 |
| 99495 | Transitional care management services for problem of at least moderate complexity | 13 | 13 | $0 |
| 99497 | Advance care planning, first 30 minutes | 13 | 13 | $0 |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 11 | 11 | $0 |
| G0446 | Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes | 11 | 11 | $0 |
Insurance plans in this area (ZIP 78109)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Internal Medicine | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | FL |
Reviews
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