Laura Marie Tidwell, APNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5705-33 Issued in WI

Practice address

342 N Water St Ste 600
Milwaukee, WI 53202-5715

Phone

(651) 342-1039

Fax

(651) 342-1428

NPI assigned

Oct 15, 2011

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Bluestone Physician Services Wisconsin SCGroup PAC ID 7719296789, 30 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centerwell Home Health Home health agency, West Allis, WI, CCN 527207
• Care in the Home Wisconsin Home health agency, Pleasant Prairie, WI, CCN 527326
• Aveanna Home Health Home health agency, Brookfield, WI, CCN 527273
• Aurora at Home Home health agency, Milwaukee, WI, CCN 527001
• Castle Hospice Hospice, New Berlin, WI, CCN 521609
• Brighton Hospice Wisconsin Hospice, Brookfield, WI, CCN 521603

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bluestone Physician Services Wisconsin SC

  • Family Medicine Physician
  • Milwaukee, WI
  • NPI 1922497908
  Medicare reassignment Care Compare group NPD
• Beacon Nursing

  • Health Service Clinic/Center
  • Elkhorn, WI
  • NPI 1740026608
  NPD Authorized official
• Aurora Medical Group, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Manitowoc, WI
  • NPI 1801941075
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Brighton Hospice Wisconsin LLC

  • Community Based Hospice Care Agency
  • Brookfield, WI
  • NPI 1518432749
  Care Compare affiliation
• Castle Senior Living, Inc

  • Community Based Hospice Care Agency
  • New Berlin, WI
  • NPI 1992317762
  Care Compare affiliation
• Centerwell Certified Healthcare Corp.

  • Home Health Agency
  • West Allis, WI
  • NPI 1225064926
  Care Compare affiliation
• Recover Health of Wisconsin, Inc.

  • Home Health Agency
  • Brookfield, WI
  • NPI 1710967104
  Care Compare affiliation
• Respitecare-Care in the Home, Inc

  • Home Health Agency
  • Pleasant Prairie, WI
  • NPI 1558733097
  Care Compare affiliation
• Visiting Nurse Association of Wisconsin, Inc.

  • Home Health Agency
  • West Allis, WI
  • NPI 1134255037
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1318636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777852800000",
    "number": "1669757258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 MAIN ST N STE 300",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550826788",
            "telephone_number": "651-342-1039",
            "fax_number": "651-342-1428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "342 N WATER ST STE 600",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532025715",
            "telephone_number": "651-342-1039",
            "fax_number": "651-342-1428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIDWELL",
        "first_name": "LAURA",
        "middle_name": "MARIE",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-15",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "141543-30",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "5705-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Elizabeth Thyne, LCSW
• Brittney Thyssen
• Charles H Tiber, MD
• Amy Ticknor, MD
• Mikayla Tidemann, LPC
• Michael Jon Tierney, OTA
• Deborah Kay Tietjen, FNP
• Tiffany Johnson LLC Gingerbread House
• Kathryn Tiffany
• Kathryn Tighe, MD

• Family Nurse Practitioner in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Family Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.