MR. NATHAN TIEDEMAN DNP, FNP, RN
NPI 1285083436
Nurse Practitioner - Family in Sisseton, SD
About Mr. Nathan Tiedeman Dnp, Fnp, Rn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. NATHAN TIEDEMAN DNP, FNP, RN (NPI 1285083436) is an individual family provider in Sisseton, South Dakota, licensed in South Dakota (CP001093) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, is affiliated with Glacial Ridge Hospital, and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. Nathan Tiedeman Dnp, Fnp, Rn 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.
Medicare Billing Reassignments
4Medicare enrollment records show Nathan Tiedeman reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lisbon, ND 58054
- Reassigned Medicare billing, North Dakota enrollment
- 55 clinicians in this Medicare group
Starbuck, MN 56381
- Reassigned Medicare billing, Minnesota enrollment
- Also billed through NPI 1538178520 (Minnesota)
- 111 clinicians in this Medicare group
Valley City, ND 58072
- Reassigned Medicare billing, North Dakota enrollment
- 64 clinicians in this Medicare group
Devils Lake, ND 58301
- Reassigned Medicare billing, North Dakota enrollment
- 102 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Glacial Ridge Hospital
Critical Access Hospitals · Glenwood, MNPrairie Ridge Hospital And Health Services
Critical Access Hospitals · Elbow Lake, MNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 57262 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Nathan Tiedeman's NPI number?
The NPI number for Nathan Tiedeman is 1285083436. It was assigned to this individual provider in the NPPES registry on June 8, 2016.
Where is Nathan Tiedeman located?
Nathan Tiedeman practices at 205 Orchard Dr, Sisseton, SD 57262. The listed phone number is (605) 698-7647.
What is Nathan Tiedeman's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Nathan Tiedeman enrolled in Medicare?
Yes. Nathan Tiedeman 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.
Which organizations bill Medicare for Nathan Tiedeman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nathan Tiedeman reassigns Medicare benefits to 4 organizations: Lisbon Area Health Services (Lisbon, ND), Glacial Ridge Hospital District (Starbuck, MN), Mercy Hospital Of Valley City (Valley City, ND) and Mercy Hospital Of Devils Lake (Devils Lake, ND). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nathan Tiedeman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nathan Tiedeman accept?
Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Nathan Tiedeman 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 Nathan Tiedeman affiliated with any hospitals?
According to CMS data, Nathan Tiedeman is affiliated with Glacial Ridge Hospital and Prairie Ridge Hospital And Health Services.
When was this NPI record last updated?
The NPPES record for Nathan Tiedeman was last updated on June 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Mr. Nathan Tiedeman, DNP, FNP, RN · NPI 1285083436
Family physician in Sisseton, South Dakota. Individual provider, active in the CMS NPPES registry since June 8, 2016.
## Identity
- **NPI:** 1285083436 (Entity type: Individual)
- **Enumerated:** June 8, 2016
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** CP001093 (South Dakota)
- **Sole proprietor:** No
## Practice location
- **Address:** 205 ORCHARD DR, Sisseton, SD 57262-2312
- **Phone:** (605) 698-7647
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Lisbon Area Health Services (NPI 1184051971, Lisbon, ND); Glacial Ridge Hospital District (NPI 1063952026, Starbuck, MN); Mercy Hospital Of Valley City (NPI 1477549111, Valley City, ND); Mercy Hospital Of Devils Lake (NPI 1184117293, Devils Lake, ND) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** June 13, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1285083436) · Data from the CMS NPPES public registry.