JONATHAN TIBALDO (FNP-C) – Nurse Practitioner, NPI 1841647567
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
22,209 NURSE PRACTITIONER in TX
Provider Addresses for JONATHAN TIBALDO (FNP-C)
20320 NORTHWEST FWY STE 400A
JERSEY VILLAGE, TX 770655620
Phone: (346) 345-2092
Fax: (281) 883-4395
Type: Location
Bayshore Medical Center, 4000, Spencer Highway, Pasadena, Harris County, Texas, 77504, United States
PASADENA, TX 775041202
Phone: (713) 359-1440
Type: Location
PO BOX 39077
BELFAST, ME 049151232
Phone:
Type: Mailing
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: 2016-08-23
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 |
|---|---|---|---|---|
| I20160823001503 | 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 |
|---|---|---|---|---|
| 80047 | Blood test, basic group of blood chemicals (calcium, ionized) | 16 | 16 | $0 |
| 85014 | Red blood cell concentration measurement | 16 | 16 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 14 | 14 | $0 |
| 99348 | Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes | 12 | 12 | $0 |
| 87811 | Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) | 11 | 11 | $0 |
Insurance plans in this area (ZIP 77065)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | ME | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | ME | |
| Emergency Medicine | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX |
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