LISA MARIE TETZLAFF FNP-C
NPI 1174854400
Nurse Practitioner - Family in Newberry, MI

Q: What is Lisa Tetzlaff's NPI number?

The NPI number for Lisa Tetzlaff is 1174854400. It was assigned to this individual provider in the NPPES registry on January 27, 2010. The provider is also known as Lisa M Davidson Fnp-C.

Q: What is Lisa Tetzlaff's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Tetzlaff was last updated on July 16, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 27, 2010PECOS EnrolledAccepts Medicare Assignment

700 NEWBERRY AVE, NEWBERRY, MI 49868(906) 293-3226(877) 743-0490 Get Directions Write a Review

NPPES record last updated: July 16, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Lisa Marie Tetzlaff Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA MARIE TETZLAFF FNP-C (NPI 1174854400) is an individual family provider in Newberry, Michigan, licensed in Michigan (4704267555) and active in the NPI registry since January 2010. She is enrolled in Medicare PECOS, is affiliated with Chippewa County War Memorial Hospital, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1174854400

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameLISA MARIE TETZLAFFCredential: FNP-C

Location Address700 NEWBERRY AVENewberry, MI 49868-1503

Mailing Address9789 W Baird StBrimley, MI 49715-9291 · (906) 203-6042

Phone(906) 293-3226

Fax(877) 743-0490

Sole ProprietorYes

Medical School CMSOtherGraduated 2012

Enumeration DateJanuary 27, 2010

Last NPPES UpdateJuly 16, 2014

✔ NPI 1174854400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MI · 4704267555

Also ListedRegistered Nurse · SchoolTaxonomy 163WS0200X · License L1-0037352 (DE)

700 NEWBERRY AVE, Newberry, MI 49868

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Other Names 1

Former Name (1)Lisa M Davidson Fnp-c

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lisa Marie Tetzlaff Fnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7517263866

PECOS Enrollment IDI20160311001465

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

15 services15 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

15 services14 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

15 services12 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Chippewa County War Memorial Hospital

Acute Care Hospitals · Sault Sainte Marie, MI

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230239

Location500 Osborn BlvdSault Sainte Marie, MI 49783 · Chippewa County

Emergency services Birthing friendly

Helen Newberry Joy Hospital

Critical Access Hospitals · Newberry, MI

OwnershipGovernment - Local

CMS Certification Number231304

Location502 W Harrie StNewberry, MI 49868 · Luce County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49868 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.09 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Tetzlaff's NPI number?

The NPI number for Lisa Tetzlaff is 1174854400. It was assigned to this individual provider in the NPPES registry on January 27, 2010. The provider is also known as Lisa M Davidson Fnp-C.

Where is Lisa Tetzlaff located?

Lisa Tetzlaff practices at 700 Newberry Ave, Newberry, MI 49868. The listed phone number is (906) 293-3226.

What is Lisa Tetzlaff's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Lisa Tetzlaff enrolled in Medicare?

Yes. Lisa Tetzlaff is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Lisa Tetzlaff accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Lisa Tetzlaff as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Lisa Tetzlaff affiliated with any hospitals?

According to CMS data, Lisa Tetzlaff is affiliated with Chippewa County War Memorial Hospital and Helen Newberry Joy Hospital.

When was this NPI record last updated?

The NPPES record for Lisa Tetzlaff was last updated on July 16, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.