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

Julianne M Tidmore, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1750487575

Julianne M Tidmore, CRNA is registered under Certified Registered Nurse Anesthetist (CRNA) in Pottsville, Pennsylvania. Qualified in 1991, 35 years ago. Practices with Lehigh Valley Physician Group, a 2,493-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
35
Licensed in
PA
In the registry since
2006
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

420 S Jackson St
Pottsville, PA 17901-3625 Not confirmed with CMS for 11 years — call before visiting
Phone: (570) 621-5171
Fax: (570) 621-5589
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence RN268043L (PA)

Record details

NPI number1750487575
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorYes
NPI enumeratedSeptember 16, 2006
Last updated in NPPESMarch 13, 2015

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 1991 (35 years in practice)
Group practice Lehigh Valley Physician Group — 2493 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients126
Services billed 136 a service is one billed item, such as a visit, a test or a procedure
Average patient age75

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Lehigh Valley Physician Group

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 2493 clinicians in the practice; 12 are shown here.

Other providers in Pottsville