DONALD DEE TIETSEMA III NP
NPI 1447652409
Nurse Practitioner - Psychiatric/Mental Health in Alamosa, CO

Q: What is Donald Tietsema's NPI number?

The NPI number for Donald Tietsema is 1447652409. It was assigned to this individual provider in the NPPES registry on September 22, 2014.

Q: What is Donald Tietsema's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Donald Tietsema was last updated on February 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 September 22, 2014PECOS EnrolledAccepts Medicare Assignment

8745 COUNTY ROAD 9 S, ALAMOSA, CO 81101(719) 589-3671(719) 587-6824 Get Directions Write a Review

NPPES record last updated: February 11, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 11, 2021, Mar 17, 2018, Jan 17, 2018 (3 updates tracked since 2018).

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About Donald Dee Tietsema Iii Np NPPES

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

DONALD DEE TIETSEMA III NP (NPI 1447652409) is an individual psychiatric/mental health provider in Alamosa, Colorado, licensed in Colorado (991309) and active in the NPI registry since September 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1447652409

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameDONALD DEE TIETSEMA IIICredential: NP

Location Address8745 COUNTY ROAD 9 SAlamosa, CO 81101-9610

Mailing Address8745 County Road 9 SAlamosa, CO 81101-9610 · (719) 589-3671 · Fax (719) 587-6824

Phone(719) 589-3671

Fax(719) 587-6824

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateSeptember 22, 2014

Last NPPES UpdateFebruary 11, 20213 updates tracked since enumeration

NPPES CertifiedFebruary 11, 2021

✔ NPI 1447652409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in CO · 991309

Also ListedRegistered NurseTaxonomy 163W00000X · License 4704274155 (MI), 1627153 (CO)

8745 COUNTY ROAD 9 S, Alamosa, CO 81101

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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 and accepts Medicare assignment

Donald Dee Tietsema Iii Np 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 ID1759502990

PECOS Enrollment IDI20141031001067

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.

66 services35 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.

48 services25 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

17 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 81101 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

$89.43 typical visit price

range $58.06 – $174.82

Typical copayment $22.35 (range $14.51 – $43.70)

Most-billed visit code 99203

Established Patient

$102.03 typical visit price

range $18.88 – $142.79

Typical copayment $25.50 (range $4.72 – $35.69)

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.

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.

CAROL GURULE

Counselor