TRAVIS R TIEDE APRN
NPI 1962269332
Nurse Practitioner - Psychiatric/Mental Health in Clackamas, OR
About Travis R Tiede Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TRAVIS R TIEDE APRN (NPI 1962269332) is an individual psychiatric/mental health provider in Clackamas, Oregon, licensed in Oregon (10016365) and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Travis R Tiede Aprn 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97015 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.
CLACKAMAS, OR 97015
CLACKAMAS, OR 97015
CLACKAMAS, OR 97015
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 Travis Tiede's NPI number?
The NPI number for Travis Tiede is 1962269332. It was assigned to this individual provider in the NPPES registry on March 4, 2024.
Where is Travis Tiede located?
Travis Tiede practices at 12360 SE Sunnyside Rd, Clackamas, OR 97015. The listed phone number is (503) 303-4000.
What is Travis Tiede's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Travis Tiede enrolled in Medicare?
Yes. Travis Tiede 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.
What insurance does Travis Tiede accept?
Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Travis Tiede as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Travis Tiede was last updated on March 4, 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.
# Travis R Tiede, APRN · NPI 1962269332
Psychiatric/Mental Health physician in Clackamas, Oregon. Individual provider, active in the CMS NPPES registry since March 4, 2024.
## Identity
- **NPI:** 1962269332 (Entity type: Individual)
- **Enumerated:** March 4, 2024
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 10016365 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 12360 SE SUNNYSIDE RD, Clackamas, OR 97015-9320
- **Phone:** (503) 303-4000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** March 4, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1962269332) · Data from the CMS NPPES public registry.