Johnathan Tidwell, CRNP
NPI 1063870608 · Acute Care Nurse Practitioner · Birmingham, AL
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Johnathan Tidwell, CRNP is a Acute Care Nurse Practitioner provider in Birmingham, AL (NPI 1063870608).
Provider details
- NPI number
- 1063870608
- Entity type
- Individual
- Primary specialty
- Acute Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNP
- Sex
- Male
- Sole proprietor
- Yes
- License
- 1-124189 (AL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
10 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
54 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 22 | $61 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 21 | $129 |
| Ultrasonic Guidance for Blood Vessel Access76937 | 11 | $11 |
Typical Medicare-allowed amounts for these services range $11–$129 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Additional practice locations (2)
- 619 19th St SBirmingham, AL 35233-1900Phone: (205) 975-0511
- 619 19th St SBirmingham, AL 35233-1900Phone: (205) 975-0511
Registry dates
- Enumerated
- 2016-02-09
- Last updated
- 2024-02-01
Frequently asked questions
- What is Johnathan Tidwell's NPI number?
- Johnathan Tidwell's National Provider Identifier (NPI) is 1063870608, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Johnathan Tidwell's specialty?
- Johnathan Tidwell is listed in the NPPES registry with a primary specialty of Acute Care Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Johnathan Tidwell located?
- Johnathan Tidwell's practice location on file with NPPES is 619 19th St S, Birmingham, AL 35233-1900.
- What is Johnathan Tidwell's phone number?
- The practice phone number listed in the NPPES registry for Johnathan Tidwell is (205) 975-0512.
- Does Johnathan Tidwell accept Medicare?
- Johnathan Tidwell is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Johnathan Tidwell's NPI active?
- Yes — Johnathan Tidwell's NPI (1063870608) is active in the NPPES registry as of the last update on 2024-02-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.