MRS. SHANNON LIEDQUIST TIEMAN CRNP
NPI 1326436254
Nurse Practitioner - Psychiatric/Mental Health in Glen Burnie, MD
About Mrs. Shannon Liedquist Tieman Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. SHANNON LIEDQUIST TIEMAN CRNP (NPI 1326436254) is an individual psychiatric/mental health provider in Glen Burnie, Maryland, licensed in Maryland (R214716) and active in the NPI registry since December 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses 2
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
Mrs. Shannon Liedquist Tieman Crnp 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 Shannon Tieman reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Glen Burnie, MD 21061
- Reassigned Medicare billing, Maryland enrollment
- 6 clinicians in this Medicare group
Glen Burnie, MD 21061
- Reassigned Medicare billing, Maryland enrollment
- 966 clinicians in this Medicare group
Baltimore, MD 21202
- Reassigned Medicare billing, Maryland enrollment
- 14 clinicians in this Medicare group
Elkridge, MD 21075
- Reassigned Medicare billing, Maryland enrollment
- 4 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 2
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 21061 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
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GLEN BURNIE, MD 21061
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 Shannon Tieman's NPI number?
The NPI number for Shannon Tieman is 1326436254. It was assigned to this individual provider in the NPPES registry on December 30, 2014.
Where is Shannon Tieman located?
Shannon Tieman practices at 7310 Ritchie Hwy Ste 516, Glen Burnie, MD 21061. The listed phone number is (844) 387-7469.
What is Shannon Tieman's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Shannon Tieman enrolled in Medicare?
Yes. Shannon Tieman 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 Shannon Tieman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Tieman reassigns Medicare benefits to 4 organizations: Brightwell Health LLC (Glen Burnie, MD), University Of Maryland Community Medical Group, Inc. (Glen Burnie, MD), Kinstead Provider Group, P.A. (Baltimore, MD) and Maryland Spine And Brain Specialists, LLC (Elkridge, MD). 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 Shannon Tieman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Shannon Tieman was last updated on June 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Mrs. Shannon Liedquist Tieman, CRNP · NPI 1326436254
Psychiatric/Mental Health physician in Glen Burnie, Maryland. Individual provider, active in the CMS NPPES registry since December 30, 2014.
## Identity
- **NPI:** 1326436254 (Entity type: Individual)
- **Enumerated:** December 30, 2014
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** R214716 (Maryland)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 7310 RITCHIE HWY STE 516, Glen Burnie, MD 21061-3099
- **Phone:** (844) 387-7469
## 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): Brightwell Health LLC (NPI 1942129739, Glen Burnie, MD); University Of Maryland Community Medical Group, Inc. (NPI 1295367894, Glen Burnie, MD); Kinstead Provider Group, P.A. (NPI 1568338473, Baltimore, MD); Maryland Spine And Brain Specialists, LLC (NPI 1639359508, Elkridge, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** June 6, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1326436254) · Data from the CMS NPPES public registry.