MRS. PAMELA MARIE TIETZ CNP
NPI 1619032158
Nurse Practitioner - Family in Rochester, MN
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, is affiliated with Mayo Clinic Health System New Prague, and is a graduate of Other (2000).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
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. Pamela Marie Tietz Cnp 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
2Medicare enrollment records show Pamela Tietz reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Waseca, MN 56093
- Reassigned Medicare billing, Minnesota enrollment
- Also billed through NPI 1124035282 (Minnesota)
- 1,572 clinicians in this Medicare group
Fairmont, MN 56031
- Reassigned Medicare billing, Minnesota enrollment
- 806 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mayo Clinic Health System New Prague
Critical Access Hospitals · New Prague, MNPhysician 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.
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.
ROCHESTER, MN 55905
ROCHESTER, MN 55905
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 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.
Where is Pamela Tietz located?
Pamela Tietz practices at 200 1st St SW, Rochester, MN 55905. The listed phone number is (507) 284-2511.
What is Pamela Tietz's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Pamela Tietz enrolled in Medicare?
Yes. Pamela Tietz 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 Pamela Tietz's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Pamela Tietz reassigns Medicare benefits to 2 organizations: Mayo Clinic Health System-Southwest Minnesota Region (Waseca, MN) and Mayo Clinic Health System-Fairmont (Fairmont, MN). 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 Pamela Tietz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Pamela Tietz accept?
Health plans from Medica and Sanford Health Plan list Pamela Tietz as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Pamela Tietz affiliated with any hospitals?
According to CMS data, Pamela Tietz is affiliated with Mayo Clinic Health System New Prague.
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.
# Mrs. Pamela Marie Tietz, CNP · NPI 1619032158
Family physician in Rochester, Minnesota. Individual provider, active in the CMS NPPES registry since December 26, 2006.
## Identity
- **NPI:** 1619032158 (Entity type: Individual)
- **Enumerated:** December 26, 2006
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** R 109339-1 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 200 1ST ST SW, Rochester, MN 55905-0001
- **Phone:** (507) 284-2511
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Mayo Clinic Health System-Southwest Minnesota Region (NPI 1518494251, Waseca, MN); Mayo Clinic Health System-Fairmont (NPI 1366410862, Fairmont, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2000
## Record status
- **NPPES last updated:** January 7, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1619032158) · Data from the CMS NPPES public registry.