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Active NPI 1013556356 Individual Practitioner Female Practitioner

Jessi Blackstock Tidwell , CRNP

Nurse Practitioner • Florence, AL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Jessi Tidwell, CRNP is a certified Nurse Practitioner practicing in Florence, AL. With approximately 6 years of clinical experience since completing medical education in 2020, Jessi Tidwell delivers high-quality medical care to the local community at 2904 MALL RD.

Jessi Tidwell is affiliated with Evolve Behavioral Health Llc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include follow-up hospital inpatient care per day, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2904 Mall Rd

Florence, AL 356301641

Telephone 2567685350
Fax 9496954340
Associated Practice Facility / Clinic
🏢 Evolve Behavioral Health, Llc Facility NPI 1316708993

Medicare Profile & Education

Medical School

Other

Graduation Year

2020

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Florence, AL

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
6 Yrs -9.8 yrs vs City Avg
City Avg: 15.8 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
31 Specialists

Practicing in Florence, AL (1475 Statewide)

Telehealth Adoption Rate
9.7% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
52.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Tidwell (6 Years) 6 Yrs
Florence Specialty Average (15.8 Years) 15.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes
164 51 $78.00 $39.68
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
28 18 $140.00 $63.29

Medical Specialties & State Licenses

CMS Verified: 2025-05-01
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License AL 1-162142

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License AL 1-162142

Definition to come...

Nurse Practitioner - Psychiatric/Mental Health

NUCC Taxonomy Code: 363LP0808X

State License AL 1-162142

Definition to come...

Hospital & Practice Group Affiliations

Evolve Behavioral Health Llc

2904 Mall Rd, Florence, AL 356301641

Phone: 2567685350

Evolve Behavioral Health Llc

2628 Hough Rd, Florence, AL 356301747

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Deborah Tyson , NP

Nurse Practitioner

NPI 1164980017

Nurse Practitioner

Danielle Melton , RN

Registered Nurse

NPI 1417874462

Registered Nurse

NPI 1598681694

Registered Nurse, Psychiatric-Mental Health Nurse Practitioner

Holly Sherrod , LICSW-S, PIP

Social Worker - Clinical

NPI 1609629732

LICSWS, PIP

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location May 01, 2025

Registered at 2904 MALL RD, FLORENCE, AL 356301641 (Tel: 2567685350)

📍
Updated Business Mailing Address May 01, 2025

Registered at 2904 MALL RD, FLORENCE, AL 356301641 (Tel: 2563940880)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 01, 2025

Nurse Practitioner (License #1-162142 in AL)

📍
Updated Business Mailing Address August 10, 2022

Registered at PO BOX 10005, FLORENCE, AL 356312005 (Tel: 2563940880)

👤
Provider Name / Credentials Updated August 10, 2022

Recorded as JESSI TIDWELL, CRNP

NPI Profile Active January 03, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location January 03, 2020

Registered at 106 MICHIGAN BLVD, MUSCLE SHOALS, AL 356612730 (Tel: 2563940880)

📍
Updated Business Mailing Address January 03, 2020

Registered at 106 MICHIGAN BLVD, MUSCLE SHOALS, AL 356612730 (Tel: 2563940880)

👤
Provider Name / Credentials Updated January 03, 2020

Recorded as JESSI TIDWELL, RN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 03, 2020

Registered Nurse (License #1-162142 in AL)

🟢
Initial NPI Registration & Enumeration January 03, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1013556356
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 03, 2020
Last Update: May 01, 2025
Sole Proprietor: No

Mailing Address

2904 Mall Rd

Florence, AL 356301641

Phone: 2563940880

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.