Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tonya L Tidwell

Individual provider Registered Nurse · NPI 1356850739

Tonya L Tidwell is a Nurse Practitioner in Roscoe, Illinois. Qualified in 2017, 9 years ago. Practices with Swedishamerican Hospital, a 387-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
9
Licensed in
IL
In the registry since
2017
Specialties on file
2

Practice location Address checks out

4282 E Rockton Rd
Roscoe, IL 61073-7420
Phone: (779) 696-9000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209016801 (IL)
Registered Nurse Taxonomy 163W00000X · Licence 041316348 (IL)

Record details

NPI number1356850739
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 28, 2017
Last updated in NPPESMarch 16, 2021
Certification dateMarch 16, 2021
Mailing addressPo Box 78866, Milwaukee, WI 53278-8866

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Swedishamerican Hospital — 387 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Roscoe