MRS. HEATHER JOY TIETJEN NP
NPI 1639148901
Nurse Practitioner in Sioux Falls, SD

Active since March 17, 2006PECOS EnrolledAccepts Medicare Assignment
1309 W 17TH ST, SIOUX FALLS, SD 57104(605) 328-6001 Get Directions Write a Review

NPPES record last updated: December 3, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 3, 2025, Jun 6, 2023 (2 updates tracked since 2023).

About Mrs. Heather Joy Tietjen Np NPPES

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

MRS. HEATHER JOY TIETJEN NP (NPI 1639148901) is an individual nurse practitioner in Sioux Falls, South Dakota, licensed in South Dakota (CP000856) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS, is affiliated with Sanford Usd Medical Center, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1639148901
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. HEATHER JOY TIETJENCredential: NP
Location Address1309 W 17TH STSioux Falls, SD 57104-4663
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateMarch 17, 2006
Last NPPES UpdateDecember 3, 20252 updates tracked since enumeration
NPPES CertifiedDecember 3, 2025
✔ NPI 1639148901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in SD · CP000856
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License R1353060 (MN)
1309 W 17TH ST, Sioux Falls, SD 57104

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. Heather Joy Tietjen 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 ID2062479207
PECOS Enrollment IDI20140818000853
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Heather Tietjen reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Neurological Surgery
1100 E 21ST ST, STE 600
Sioux Falls, SD 57105
  • Reassigned Medicare billing, South Dakota enrollment
  • Also billed through NPI 1295747608 (South Dakota)
  • 1,277 clinicians in this Medicare group
Family Medicine
136 S PHILLIPS AVE STE 102
Sioux Falls, SD 57104
  • Reassigned Medicare billing, South Dakota enrollment
  • 826 clinicians in this Medicare group
Family Medicine
1420 W 22NDST STE 104
Sioux Falls, SD 57105
  • Reassigned Medicare billing, South Dakota enrollment
  • 1,097 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.

Sanford Usd Medical Center

Acute Care Hospitals · Sioux Falls, SD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430027
Location1305 W 18th St Post Office Box 5039Sioux Falls, SD 57117 · Minnehaha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57104 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
$85.21 typical visit price
range $55.52 – $167.23
Typical copayment $21.30 (range $13.88 – $41.80)
Most-billed visit code 99203
Established Patient
$97.88 typical visit price
range $18.08 – $137.08
Typical copayment $24.47 (range $4.52 – $34.27)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$117.20 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$35.00 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Nurse Practitioner (Family)
1309 W 17TH ST
SIOUX FALLS, SD 57104
Nurse Practitioner
1309 W 17TH ST
SIOUX FALLS, SD 57104
Dietitian, Registered
1309 W 17TH ST
SIOUX FALLS, SD 57104
Radiology (Radiation Oncology)
1309 W 17TH ST
SIOUX FALLS, SD 57104
Radiology (Radiation Oncology)
1309 W 17TH ST
SIOUX FALLS, SD 57104
Genetic Counselor, MS
1309 W 17TH ST
SIOUX FALLS, SD 57104
Nurse Practitioner
1309 W 17TH ST, STE 101
SIOUX FALLS, SD 57104
Nurse Practitioner (Acute Care)
1309 W 17TH ST
SIOUX FALLS, SD 57104

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 Heather Tietjen's NPI number?

The NPI number for Heather Tietjen is 1639148901. It was assigned to this individual provider in the NPPES registry on March 17, 2006.

Where is Heather Tietjen located?

Heather Tietjen practices at 1309 W 17th St, Sioux Falls, SD 57104. The listed phone number is (605) 328-6001.

What is Heather Tietjen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Heather Tietjen enrolled in Medicare?

Yes. Heather Tietjen 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 Heather Tietjen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Heather Tietjen reassigns Medicare benefits to 3 organizations: Avera Mckennan (Sioux Falls, SD), Sanford Clinic (Sioux Falls, SD) and Sanford Medical Center (Sioux Falls, SD). 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 Heather Tietjen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Heather Tietjen accept?

Health plans from Sanford Health Plan, Security Health Plan, Wellmark Health Plan of Iowa, Inc. and Wellmark of South Dakota, Inc. list Heather Tietjen 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 Heather Tietjen affiliated with any hospitals?

According to CMS data, Heather Tietjen is affiliated with Sanford Usd Medical Center.

When was this NPI record last updated?

The NPPES record for Heather Tietjen was last updated on December 3, 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.