MRS. PAMELA MARIE TIETZ CNP
NPI 1619032158
Nurse Practitioner - Family in Rochester, MN

Q: What is Pamela Tietz's NPI number?

The NPI number for Pamela Tietz is 1619032158. It was assigned to this individual provider in the NPPES registry on December 26, 2006. The provider is also known as Pamela Marie Simon Cnp Aprn.

Q: What is Pamela Tietz's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Pamela Tietz was last updated on January 7, 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 December 26, 2006PECOS Enrolled

200 1ST ST SW, ROCHESTER, MN 55905(507) 284-2511 Get Directions Write a Review

NPPES record last updated: January 7, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mrs. Pamela Marie Tietz Cnp NPPES

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

MRS. PAMELA MARIE TIETZ CNP (NPI 1619032158) is an individual family provider in Rochester, Minnesota, licensed in Minnesota (R 109339-1) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619032158

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. PAMELA MARIE TIETZCredential: CNP

Location Address200 1ST ST SWRochester, MN 55905-0001

Mailing Address618 Rolling Meadows Ln SeNew Prague, MN 56071-4022 · (952) 758-2908

Phone(507) 284-2511

Sole ProprietorNo

Enumeration DateDecember 26, 2006

Last NPPES UpdateJanuary 7, 2021

NPPES CertifiedJanuary 7, 2021

✔ NPI 1619032158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MN · R 109339-1

200 1ST ST SW, Rochester, MN 55905

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Other Names 1

Former Name (1)Pamela Marie Simon Cnp Aprn

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Pamela Marie Tietz Cnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55905 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

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.

EMILY LEASURE MD

Internal Medicine