SHELBY MARIE LIETZ ARNP
NPI 1568343341
Nurse Practitioner - Acute Care in Fort Dodge, IA

Active since September 09, 2025PECOS EnrolledAccepts Medicare Assignment
2728 2ND AVE S, FORT DODGE, IA 50501(515) 574-6170 Get Directions Write a Review

NPPES record last updated: September 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shelby Marie Lietz Arnp NPPES

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

SHELBY MARIE LIETZ ARNP (NPI 1568343341) is an individual acute care provider in Fort Dodge, Iowa, licensed in Iowa (A186266) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS, is affiliated with Trinity Regional Medical Center, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1568343341
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameSHELBY MARIE LIETZCredential: ARNP
Location Address2728 2ND AVE SFort Dodge, IA 50501-6710
Mailing Address213 E Wilcox WayJefferson, IA 50129-2734
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateSeptember 9, 2025
NPPES CertifiedSeptember 9, 2025
NPI 1568343341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in IA · A186266
2728 2ND AVE S, Fort Dodge, IA 50501

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

Shelby Marie Lietz Arnp 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 ID8628567328
PECOS Enrollment IDI20251031003438
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.

Hospital Affiliations CMS Care Compare

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

Trinity Regional Medical Center

Acute Care Hospitals · Fort Dodge, IA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160016
Location802 Kenyon RdFort Dodge, IA 50501 · Webster County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50501 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
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 3

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

Nurse Practitioner (Family)
2728 2ND AVE S
FORT DODGE, IA 50501
Physician Assistant
2728 2ND AVE S
FORT DODGE, IA 50501
Clinic/Center (Rural Health)
2728 2ND AVE S
FORT DODGE, IA 50501

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 Shelby Lietz's NPI number?

The NPI number for Shelby Lietz is 1568343341. It was assigned to this individual provider in the NPPES registry on September 9, 2025.

Where is Shelby Lietz located?

Shelby Lietz practices at 2728 2nd Ave S, Fort Dodge, IA 50501. The listed phone number is (515) 574-6170.

What is Shelby Lietz's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Shelby Lietz enrolled in Medicare?

Yes. Shelby Lietz 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.

Is Shelby Lietz affiliated with any hospitals?

According to CMS data, Shelby Lietz is affiliated with Trinity Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Shelby Lietz was last updated on September 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.