AUTUMN SUE TIES MD
NPI 1871177501
Emergency Medicine in Apple Valley, MN
About Autumn Sue Ties Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AUTUMN SUE TIES MD (NPI 1871177501) is an individual emergency medicine provider in Apple Valley, Minnesota, licensed in Minnesota (74346) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS, is affiliated with Ridgeview Medical Center, and maintains 5 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Locations 5
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
Autumn Sue Ties Md 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
5Medicare enrollment records show Autumn Ties reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Apple Valley, MN 55124
- Reassigned Medicare billing, Minnesota enrollment
- 2,274 clinicians in this Medicare group
Saint Paul, MN 55101
- Reassigned Medicare billing, Minnesota enrollment
- 393 clinicians in this Medicare group
Chanhassen, MN 55317
- Reassigned Medicare billing, Minnesota enrollment
- 581 clinicians in this Medicare group
Le Sueur, MN 56058
- Reassigned Medicare billing, Minnesota enrollment
- 201 clinicians in this Medicare group
Arlington, MN 55307
- Reassigned Medicare billing, Minnesota enrollment
- 229 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 2
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.
Ridgeview Medical Center
Acute Care Hospitals · Waconia, MNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55124 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Autumn Ties's NPI number?
The NPI number for Autumn Ties is 1871177501. It was assigned to this individual provider in the NPPES registry on May 9, 2021. The provider is also known as Autumn Sue Pace MD.
Where is Autumn Ties located?
Autumn Ties practices at 15350 English Ave, Apple Valley, MN 55124. The listed phone number is (952) 853-8800.
What is Autumn Ties's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Autumn Ties enrolled in Medicare?
Yes. Autumn Ties 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 Autumn Ties's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Autumn Ties reassigns Medicare benefits to 5 organizations: Group Health, Inc. (Apple Valley, MN), Regions Hospital (Saint Paul, MN), Ridgeview Medical Center (Chanhassen, MN), Minnesota Valley Health Center Inc (Le Sueur, MN) and Sibley Medical Center (Arlington, MN). 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 Autumn Ties's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Autumn Ties affiliated with any hospitals?
According to CMS data, Autumn Ties is affiliated with Ridgeview Medical Center.
When was this NPI record last updated?
The NPPES record for Autumn Ties was last updated on October 8, 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.
# Autumn Sue Ties, MD · NPI 1871177501
Emergency Medicine physician in Apple Valley, Minnesota. Individual provider, active in the CMS NPPES registry since May 9, 2021.
## Identity
- **NPI:** 1871177501 (Entity type: Individual)
- **Enumerated:** May 9, 2021
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 74346 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 15350 ENGLISH AVE, Apple Valley, MN 55124-6252
- **Phone:** (952) 853-8800
## 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:** 5 organizations under Medicare reassignment (form CMS-855R): Group Health, Inc. (NPI 1073668877, Apple Valley, MN); Regions Hospital (NPI 1154359917, Saint Paul, MN); Ridgeview Medical Center (NPI 1558142869, Chanhassen, MN); Minnesota Valley Health Center Inc (NPI 1215097902, Le Sueur, MN); Sibley Medical Center (NPI 1740240225, Arlington, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Minnesota Medical School, class of 2021
## Record status
- **NPPES last updated:** October 8, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1871177501) · Data from the CMS NPPES public registry.