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TAMARA JANE THISSEN BSN, RN-C, CEN, AMB-
NPI 1710858436
Registered Nurse - Emergency in Petaluma, CA

Active since September 16, 2025PECOS Enrolled
400 N MCDOWELL BLVD, PETALUMA, CA 94954(707) 778-1111 Get Directions Write a Review

NPPES record last updated: September 16, 2025. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Tamara Jane Thissen Bsn, Rn-c, Cen, Amb- NPPES

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

TAMARA JANE THISSEN BSN, RN-C, CEN, AMB- (NPI 1710858436) is an individual emergency provider in Petaluma, California, licensed in California (725175) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2026).

NPPES Registry Identity

NPI1710858436
Entity TypeIndividualFemale
Primary Taxonomy163WE0003X
Provider Legal NameTAMARA JANE THISSENCredential: BSN, RN-C, CEN, AMB-
Location Address400 N MCDOWELL BLVDPetaluma, CA 94954-2339
Mailing Address122 Brooktrail CtSanta Rosa, CA 95409-2763 · (707) 778-1111
Phone(707) 778-1111
Sole ProprietorNo
Medical School CMSOtherGraduated 2026
Enumeration DateSeptember 16, 2025
NPPES CertifiedSeptember 16, 2025
✔ NPI 1710858436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · EmergencyNursing Service Providers
Taxonomy Code163WE0003X
License✔ Licensed in CA · 725175
400 N MCDOWELL BLVD, Petaluma, CA 94954
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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 (PECOS)

Tamara Jane Thissen Bsn, Rn-c, Cen, Amb- is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7214492420
PECOS Enrollment IDI20260717003888
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.

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.

NICHOLAS BAUTISTA RN
Registered Nurse
400 N MCDOWELL BLVD
PETALUMA, CA 94954
Sonoma County (707) 778-1111
DR. DONALD SCOTT SCHMIDT M.D.
Emergency Medicine (Emergency Medical Services)
400 N MCDOWELL BLVD
PETALUMA, CA 94954
Sonoma County (707) 778-1111
DR. EARL HERR M.D.
Emergency Medicine (Emergency Medical Services)
400 N MCDOWELL BLVD
PETALUMA, CA 94954
Sonoma County (707) 778-1111
DR. MICHAELA SHEPPHARD M.D.
Emergency Medicine (Emergency Medical Services)
400 N MCDOWELL BLVD
PETALUMA, CA 94954
Sonoma County (707) 778-1111
ANDREW K CHINNOCK FNP
Nurse Practitioner
400 N MCDOWELL BLVD
PETALUMA, CA 94954
Sonoma County (707) 776-8066
ROBERT I OSTROFF MD INC
General Acute Care Hospital
400 N MCDOWELL BLVD
PETALUMA, CA 94954
Sonoma County (707) 778-1111
DR. HENRY LOREN FONG M.D.
Emergency Medicine (Emergency Medical Services)
400 N MCDOWELL BLVD
PETALUMA, CA 94954
Sonoma County (707) 778-1111
KOKEB TESHOME M.D.
Internal Medicine
400 N MCDOWELL BLVD
PETALUMA, CA 94954
Sonoma County (707) 778-1111

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 Tamara Thissen's NPI number?

The NPI number for Tamara Thissen is 1710858436. It was assigned to this individual provider in the NPPES registry on September 16, 2025.

Where is Tamara Thissen located?

Tamara Thissen practices at 400 N Mcdowell Blvd, Petaluma, CA 94954. The listed phone number is (707) 778-1111.

What is Tamara Thissen's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Emergency, with taxonomy code 163WE0003X.

Is Tamara Thissen enrolled in Medicare?

Yes. Tamara Thissen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tamara Thissen was last updated on September 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.