MAE LYNNE TIETJE MSN, RN, APN, AGNP-C
NPI 1730780479
Nurse Practitioner - Primary Care in Atlantic City, NJ

Active since November 07, 2020PECOS EnrolledAccepts Medicare Assignment
3830 ATLANTIC AVE, ATLANTIC CITY, NJ 08401(609) 345-6000 Get Directions Write a Review

NPPES record last updated: November 7, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mae Lynne Tietje Msn, Rn, Apn, Agnp-c NPPES

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

MAE LYNNE TIETJE MSN, RN, APN, AGNP-C (NPI 1730780479) is an individual primary care provider in Atlantic City, New Jersey, licensed in New Jersey (26NJ01069800) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS, is affiliated with Atlanticare Regional Medical Center - City Campus, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1730780479
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameMAE LYNNE TIETJECredential: MSN, RN, APN, AGNP-C
Location Address3830 ATLANTIC AVEAtlantic City, NJ 08401-6080
Mailing Address274 Deerfield DrMays Landing, NJ 08330-4924 · (609) 204-6792
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateNovember 7, 2020
NPPES CertifiedNovember 7, 2020
NPI 1730780479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in NJ · 26NJ01069800
3830 ATLANTIC AVE, Atlantic City, NJ 08401

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

Mae Lynne Tietje Msn, Rn, Apn, Agnp-c 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 ID6709299621
PECOS Enrollment IDI20210113001059
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 7

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, 30-39 minutes 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.
163 services100 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
83 services62 patients
Established patient office or other outpatient visit, 40-54 minutes 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
36 services32 patients
Administration of vaccine 90471
Administering a vaccine involves injecting a small, safe piece of a virus or bacteria into your body. This triggers your immune system to recognize and fight off the disease in the future. It's a vital tool in preventing serious illnesses and maintaining public health.
31 services28 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
30 services29 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
30 services30 patients

Hospital Affiliations CMS Care Compare

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

Atlanticare Regional Medical Center - City Campus

Acute Care Hospitals · Atlantic City, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310064
Location1925 Pacific AvenueAtlantic City, NJ 08401 · Atlantic County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08401 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
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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 3

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

Orthopaedic Surgery
3830 ATLANTIC AVE
ATLANTIC CITY, NJ 08401
Physician Assistant
3830 ATLANTIC AVE
ATLANTIC CITY, NJ 08401
Family Medicine
3830 ATLANTIC AVE
ATLANTIC CITY, NJ 08401

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 Mae Tietje's NPI number?

The NPI number for Mae Tietje is 1730780479. It was assigned to this individual provider in the NPPES registry on November 7, 2020.

Where is Mae Tietje located?

Mae Tietje practices at 3830 Atlantic Ave, Atlantic City, NJ 08401. The listed phone number is (609) 345-6000.

What is Mae Tietje's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Mae Tietje enrolled in Medicare?

Yes. Mae Tietje 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.

Is Mae Tietje affiliated with any hospitals?

According to CMS data, Mae Tietje is affiliated with Atlanticare Regional Medical Center - City Campus.

When was this NPI record last updated?

The NPPES record for Mae Tietje was last updated on November 7, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.