DR. CAITLYN MAE TIEDEMANN DNP
NPI 1720825755
Nurse Practitioner - Adult Health in Buffalo, NY
About Dr. Caitlyn Mae Tiedemann Dnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. CAITLYN MAE TIEDEMANN DNP (NPI 1720825755) is an individual adult health provider in Buffalo, New York, licensed in New York (F311845-01) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS, is affiliated with Kaleida Health, and is a graduate of State University Of New York At Buffalo School Of Medicine (2024).
NPPES Registry Identity
Specialties & Licenses
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
Dr. Caitlyn Mae Tiedemann Dnp 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
3Medicare enrollment records show Caitlyn Tiedemann reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Amherst, NY 14228
- Reassigned Medicare billing, New York enrollment
- 106 clinicians in this Medicare group
Williamsville, NY 14221
- Reassigned Medicare billing, New York enrollment
- 104 clinicians in this Medicare group
Dunkirk, NY 14048
- Reassigned Medicare billing, New York enrollment
- 572 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.
Areas of Expertise CMS Part B claims
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Kaleida Health
Acute Care Hospitals · Buffalo, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 14222 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Caitlyn Tiedemann's NPI number?
The NPI number for Caitlyn Tiedemann is 1720825755. It was assigned to this individual provider in the NPPES registry on July 9, 2024.
Where is Caitlyn Tiedemann located?
Caitlyn Tiedemann practices at 536 Potomac Ave, Buffalo, NY 14222. The listed phone number is (716) 345-5842.
What is Caitlyn Tiedemann's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Caitlyn Tiedemann enrolled in Medicare?
Yes. Caitlyn Tiedemann 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 Caitlyn Tiedemann's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Caitlyn Tiedemann reassigns Medicare benefits to 3 organizations: Infinity Medical Group P.C. (Amherst, NY), Infinity Medical Of Wny PC (Williamsville, NY) and General Physician, PC (Dunkirk, NY). 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 Caitlyn Tiedemann's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Caitlyn Tiedemann affiliated with any hospitals?
According to CMS data, Caitlyn Tiedemann is affiliated with Kaleida Health.
When was this NPI record last updated?
The NPPES record for Caitlyn Tiedemann was last updated on July 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Dr. Caitlyn Mae Tiedemann, DNP · NPI 1720825755
Adult Health physician in Buffalo, New York. Individual provider, active in the CMS NPPES registry since July 9, 2024.
## Identity
- **NPI:** 1720825755 (Entity type: Individual)
- **Enumerated:** July 9, 2024
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** F311845-01 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 536 POTOMAC AVE, Buffalo, NY 14222-1129
- **Phone:** (716) 345-5842
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): Infinity Medical Group P.C. (NPI 1841648011, Amherst, NY); Infinity Medical Of Wny PC (NPI 1568883080, Williamsville, NY); General Physician, PC (NPI 1093959322, Dunkirk, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** State University Of New York At Buffalo School Of Medicine, class of 2024
## Record status
- **NPPES last updated:** July 9, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1720825755) · Data from the CMS NPPES public registry.