AUSTIN FREDERICK TIESENGA
NPI 1740977446
Student in an Organized Health Care Education/Training Program in Saint Joseph, MI
About Austin Frederick Tiesenga NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AUSTIN FREDERICK TIESENGA (NPI 1740977446) is an individual student in an organized health care education/training program in Saint Joseph, Michigan and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Austin Frederick Tiesenga is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
SAINT JOSEPH, MI 49085
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 Austin Tiesenga's NPI number?
The NPI number for Austin Tiesenga is 1740977446. It was assigned to this individual provider in the NPPES registry on April 21, 2023.
Where is Austin Tiesenga located?
Austin Tiesenga practices at 1234 Napier Ave, Saint Joseph, MI 49085. The listed phone number is (269) 985-4461.
What is Austin Tiesenga's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Austin Tiesenga enrolled in Medicare?
Yes. Austin Tiesenga is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Austin Tiesenga was last updated on February 6, 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.
# Austin Frederick Tiesenga · NPI 1740977446
Student in an Organized Health Care Education/Training Program provider in Saint Joseph, Michigan. Individual provider, active in the CMS NPPES registry since April 21, 2023.
## Identity
- **NPI:** 1740977446 (Entity type: Individual)
- **Enumerated:** April 21, 2023
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 1234 NAPIER AVE, Saint Joseph, MI 49085-2112
- **Phone:** (269) 985-4461
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** February 6, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1740977446) · Data from the CMS NPPES public registry.