Jonathan Tibaldo, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AP131029 Issued in TX

Practice address

20320 Northwest Fwy Ste 400a
Jersey Village, TX 77065-5620

Phone

(346) 345-2092

Fax

(281) 883-4395

NPI assigned

May 23, 2016

Sex

Male

Sole proprietor

Yes

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 TX

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, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pecan Health PLLCGroup PAC ID 5193170363, 14 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

56.11 of 100Reported as group

Quality

50.63

Improvement activities

40

Cost

27.55

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jonathan.tibaldo.1@28696.direct.athenahealth.com

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.

• Pecan Health PLLC

  • General Practice Physician
  • Jersey Village, TX
  • NPI 1265210751

  Family

  Medicare reassignment Care Compare group NPD
• Emergency Medicine Services of TX, PLLC

  • Emergency Medicine Physician
  • San Antonio, TX
  • NPI 1245938729
  Medicare reassignment NPD
• Dispatchhealth-Texas P a

  • Emergency Medicine Physician
  • Houston, TX
  • NPI 1649787896
  NPD

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

{
    "created_epoch": "1463961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750636800000",
    "number": "1841647567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 39077",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049151232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20320 NORTHWEST FWY STE 400A",
            "city": "JERSEY VILLAGE",
            "state": "TX",
            "postal_code": "770655620",
            "telephone_number": "346-345-2092",
            "fax_number": "281-883-4395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIBALDO",
        "first_name": "JONATHAN",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-23",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP131029",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP131029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Symetria Health of Texas, LLC
• Precious Tabansi, MD
• Texas Managerial Medical Services, LLC
• Texas MRI Partners LLC
• The Center for Children & Families: a Cy-Hope Counseling Clinic
• Pearl Lynn Tolliver, LPC
• Tomball Diagnostic Solutions, Inc.
• An Tran
• Kim-Marie Troutman, NP
• Hanh Truong, RPH

• Nurse Practitioner in Jersey Village, TX
• Providers in Jersey Village, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2025; 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.