COLLEEN ELIZABETH TILLEMA FNP
NPI 1720503329
Nurse Practitioner - Family in Ada, MI

Q: What is Colleen Tillema's NPI number?

The NPI number for Colleen Tillema is 1720503329. It was assigned to this individual provider in the NPPES registry on August 4, 2017.

Q: What is Colleen Tillema'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 Colleen Tillema was last updated on September 10, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 04, 2017PECOS EnrolledAccepts Medicare Assignment

7128 FULTON ST E, ADA, MI 49301(616) 825-3530 Get Directions Write a Review

NPPES record last updated: September 10, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 10, 2021, Apr 22, 2021, Apr 12, 2021 and 3 more (6 updates tracked since 2017).

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About Colleen Elizabeth Tillema Fnp NPPES

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

COLLEEN ELIZABETH TILLEMA FNP (NPI 1720503329) is an individual family provider in Ada, Michigan, licensed in Michigan (4704297552) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and maintains a secondary practice location in Central Point.

NPPES Registry Identity

NPI1720503329

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameCOLLEEN ELIZABETH TILLEMACredential: FNP

Location Address7128 FULTON ST EAda, MI 49301-8413

Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560

Phone(616) 825-3530

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateAugust 4, 2017

Last NPPES UpdateSeptember 10, 20216 updates tracked since enumeration

NPPES CertifiedSeptember 10, 2021

✔ NPI 1720503329 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 MI · 4704297552

7128 FULTON ST E, Ada, MI 49301

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Secondary Practice Location 1

Location 14940 Hamrick RdCentral Point, OR 97502-3072 · Phone (541) 690-3600 · Fax (541) 664-3735

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include McLaren Health Plan Community, Priority Health.Insurance ›

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

Colleen Elizabeth Tillema Fnp 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 ID9335412790

PECOS Enrollment IDI20190424000702

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

22 services22 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

15 services15 patients

Hospital Affiliations CMS Care Compare

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

Spectrum Health

Acute Care Hospitals · Grand Rapids, MI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230038

Location100 Michigan St NEGrand Rapids, MI 49503 · Kent County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49301 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

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.09 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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 17

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

DR. SARAH ELIZA MATTSON M.D.

Obstetrics & Gynecology