TIERZA THORMODSON – Family Nurse Practitioner, NPI 1093605347

TIERZA THORMODSON is a healthcare provider. based in Dalton, Minnesota. specializing in NURSE PRACTITIONER. They hold a License No. 13035 (MN). The NPI Number for TIERZA THORMODSON is 1093605347

Main info

Female
1 Year Of Experience
Accepts Medicare Assignment
Name
TIERZA THORMODSON
NPI
1093605347
Phone
(701) 566-3469
Address
PO BOX 534
Enumeration Date
8 July 2025
Last Update Date
8 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3202393939
Graduation Year
2025 (1 year ago)
PAC ID
2961909650
Group Practice PAC ID
3678475852
Professional Enrollment ID
I20251008003149
Address ID
MN563812456ST501XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

5,720 NURSE PRACTITIONER in MN

Provider Addresses for TIERZA THORMODSON

  • PO BOX 534

    DALTON, MN 563240534

    Phone: (701) 566-3469

    Type: Mailing

  • 400 E 1ST ST

    MORRIS, MN 562671408

    Phone: (320) 589-1313

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-10-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20251008003149INurse PractitionerMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 56324)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3678475852View full group profile
NameSpecialtyState
Family Practice, Osteopathic Manipulative MedicineMN
Family PracticeMN
Family PracticeMN
Emergency MedicineNY
General SurgeryMN
Nurse PractitionerMN
Nurse PractitionerMN
Certified Nurse Midwife (Cnm)MN
Nurse PractitionerMN
Diagnostic RadiologyFL

Reviews

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Frequently asked questions

What number should I use to identify TIERZA THORMODSON for billing?
Administrative and clinical systems typically use NPI 1093605347 for TIERZA THORMODSON.
Is TIERZA THORMODSON's NPI status active today?
Active status means TIERZA THORMODSON's NPI record is not deactivated in the public file.
How should patients interpret TIERZA THORMODSON's specialty?
The extract shows Family Nurse Practitioner for TIERZA THORMODSON. Clinical services aligned with this taxonomy classification.
Which community is linked to TIERZA THORMODSON?
TIERZA THORMODSON shows a connection to Dalton, Minnesota in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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