MRS. JENNIFER LYNN TIETJEN CPNP
NPI 1831432814
Nurse Practitioner - Pediatrics in Saint Louis, MO

Q: What is Jennifer Tietjen's NPI number?

The NPI number for Jennifer Tietjen is 1831432814. It was assigned to this individual provider in the NPPES registry on March 28, 2013.

Q: What is Jennifer Tietjen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Tietjen was last updated on July 22, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 28, 2013PECOS Enrolled

12348 OLD TESSON RD, ST 160, SAINT LOUIS, MO 63128(314) 467-3800 Get Directions Write a Review

NPPES record last updated: July 22, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Mrs. Jennifer Lynn Tietjen Cpnp NPPES

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

MRS. JENNIFER LYNN TIETJEN CPNP (NPI 1831432814) is an individual pediatrics provider in Saint Louis, Missouri, licensed in Missouri (2013006671) and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1831432814

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameMRS. JENNIFER LYNN TIETJENCredential: CPNP

Location Address12348 OLD TESSON RD, ST 160Saint Louis, MO 63128-2251

Mailing Address271 Arbor Trails DrBallwin, MO 63021-3308 · (314) 753-3982

Phone(314) 467-3800

Sole ProprietorNo

Enumeration DateMarch 28, 2013

Last NPPES UpdateJuly 22, 2016

✔ NPI 1831432814 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in MO · 2013006671

12348 OLD TESSON RD, Saint Louis, MO 63128

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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)

Mrs. Jennifer Lynn Tietjen Cpnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63128 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

$86.32 typical visit price

range $55.65 – $169.38

Typical copayment $21.58 (range $13.91 – $42.34)

Most-billed visit code 99203

Established Patient

$98.37 typical visit price

range $17.76 – $137.92

Typical copayment $24.59 (range $4.44 – $34.48)

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.