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KEENAE MARIKE TIERSMA MD
NPI 1376483420
Student in an Organized Health Care Education/Training Program in Seattle, WA

Active since March 30, 2026PECOS Enrolled
850 REPUBLICAN ST, SEATTLE, WA 98109(206) 543-6806 Get Directions Write a Review

NPPES record last updated: March 30, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Keenae Marike Tiersma Md NPPES

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

KEENAE MARIKE TIERSMA MD (NPI 1376483420) is an individual student in an organized health care education/training program in Seattle, Washington and active in the NPI registry since March 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376483420
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKEENAE MARIKE TIERSMACredential: MD
Location Address850 REPUBLICAN STSeattle, WA 98109-4725
Mailing Address850 Republican StSeattle, WA 98109-4725
Phone(206) 543-6806
Sole ProprietorNo
Enumeration DateMarch 30, 2026
NPPES CertifiedMarch 30, 2026
✔ NPI 1376483420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
850 REPUBLICAN ST, Seattle, WA 98109
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Keenae Marike Tiersma Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. BRAD PRESTON MOORE
Anesthesiology
850 REPUBLICAN ST, BLDG C-4. BOX 358047. GRADUATE MEDICAL EDUCATION
SEATTLE, WA 98109
King County (206) 543-6806
JULIA ROSE RAMIREZ
Student in an Organized Health Care Education/Training Program
850 REPUBLICAN ST
SEATTLE, WA 98109
King County (206) 598-3300
OMER SIDDIQUI
Student in an Organized Health Care Education/Training Program
850 REPUBLICAN ST, BOX 358047
SEATTLE, WA 98109
King County (206) 744-3000
JESSICA OUDAKKER MD
Student in an Organized Health Care Education/Training Program
850 REPUBLICAN ST
SEATTLE, WA 98109
King County (720) 620-3631
FRIDA VELCANI MD, MBA
Student in an Organized Health Care Education/Training Program
850 REPUBLICAN ST
SEATTLE, WA 98109
King County (203) 400-0336
GEET PANDYA
Student in an Organized Health Care Education/Training Program
850 REPUBLICAN ST
SEATTLE, WA 98109
King County (425) 442-7481
ARIELLE KLOSS MD
Internal Medicine
850 REPUBLICAN ST
SEATTLE, WA 98109
King County (206) 543-6806
RACHEL REZAEI MD
Student in an Organized Health Care Education/Training Program
850 REPUBLICAN ST, C-492 BOX 358047
SEATTLE, WA 98109
King County (206) 744-2556

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 Keenae Tiersma's NPI number?

The NPI number for Keenae Tiersma is 1376483420. It was assigned to this individual provider in the NPPES registry on March 30, 2026.

Where is Keenae Tiersma located?

Keenae Tiersma practices at 850 Republican St, Seattle, WA 98109. The listed phone number is (206) 543-6806.

What is Keenae Tiersma's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Keenae Tiersma enrolled in Medicare?

Yes. Keenae Tiersma is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Keenae Tiersma was last updated on March 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.