MRS. EMILY ANNE TIELLEMAN PA-C
NPI 1851717664
Physician Assistant in Dallas, TX

Q: What is Emily Tielleman's NPI number?

The NPI number for Emily Tielleman is 1851717664. It was assigned to this individual provider in the NPPES registry on March 17, 2014. The provider is also known as Ms. Emily Anne Smith Pa-C.

Q: What is Emily Tielleman's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Emily Tielleman was last updated on March 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since March 17, 2014PECOS EnrolledAccepts Medicare Assignment

5323 HARRY HINES BOULEVARD, DALLAS, TX 75390(214) 645-8898(214) 645-8894 Get Directions Write a Review

NPPES record last updated: March 18, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Mrs. Emily Anne Tielleman Pa-c NPPES

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

MRS. EMILY ANNE TIELLEMAN PA-C (NPI 1851717664) is an individual physician assistant in Dallas, Texas, licensed in Texas (PA09189) and active in the NPI registry since March 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1851717664

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMRS. EMILY ANNE TIELLEMANCredential: PA-C

Location Address5323 HARRY HINES BOULEVARDDallas, TX 75390-7208

Mailing AddressP.o. Box 845347Dallas, TX 75284-5347 · (214) 648-7760 · Fax (214) 648-7785

Phone(214) 645-8898

Fax(214) 645-8894

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateMarch 17, 2014

Last NPPES UpdateMarch 18, 2019

✔ NPI 1851717664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in TX · PA09189

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License PA09189 (TX)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

5323 HARRY HINES BOULEVARD, Dallas, TX 75390

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Other Names 1

Former Name (1)Ms. Emily Anne Smith Pa-c

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas.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

Mrs. Emily Anne Tielleman Pa-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 ID3476875444

PECOS Enrollment IDI20141202000474

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

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 straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

27 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75390 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

$88.19 typical visit price

range $57.18 – $172.86

Typical copayment $22.04 (range $14.29 – $43.21)

Most-billed visit code 99203

Established Patient

$71.28 typical visit price

range $18.48 – $141.20

Typical copayment $17.82 (range $4.62 – $35.30)

Most-billed visit code 99213

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 20

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

DR. SANDEEP GUTTIKONDA MD

Emergency Medicine