YOMARA TIETZE (FNP) – Family Nurse Practitioner, NPI 1164982047

YOMARA TIETZE (FNP) is a healthcare provider. based in Floresville, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. AP139565 (TX). The NPI Number for YOMARA TIETZE (FNP) is 1164982047

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
YOMARA TIETZE (FNP)
NPI
1164982047
Phone
(830) 393-9390
Address
540 10TH ST STE 140
Enumeration Date
25 March 2019
Last Update Date
10 February 2026

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Secondary Phone
8305698940
Graduation Year
2018 (8 years ago)
PAC ID
6406281245
Group Practice PAC ID
3779579412
Professional Enrollment ID
I20240415000498
Address ID
TX780644033PL310XXRDXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness85
Years active:7State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

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Provider Addresses for YOMARA TIETZE (FNP)

  • 10th Street, Floresville, Wilson County, Texas, United States

    FLORESVILLE, TX 781143167

    Phone: (830) 393-9390

    Fax: (830) 393-9399

    Type: Location

  • 310 W Oaklawn Rd

    Pleasanton, TX 780644033

    Phone: (830) 569-8940

    Type: Location

  • 100 VETERANS DR

    FLORESVILLE, TX 781142859

    Phone: (830) 393-9390

    Fax: (830) 393-9399

    Type: Location

  • 310, West Oaklawn Road, Pleasanton, Atascosa County, Texas, 78064, United States

    PLEASANTON, TX 780644033

    Phone: (830) 569-8940

    Fax: (830) 569-8320

    Type: Mailing

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: 2024-04-15

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
I20240415000498INurse PractitionerTXTBD

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 78114)

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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: 3779579412View full group profile
NameSpecialtyState
Mental Health CounselorTX
Family PracticeTX
-TX
Mental Health CounselorTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Family PracticeTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

How do payers reference YOMARA TIETZE (FNP)?
For YOMARA TIETZE (FNP), use NPI 1164982047 as the unique 10-digit identifier.
Is YOMARA TIETZE (FNP) still an active registrant?
YOMARA TIETZE (FNP) carries an active NPI according to the public dataset.
What kind of doctor is YOMARA TIETZE (FNP)?
YOMARA TIETZE (FNP) is associated with Family Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
Is YOMARA TIETZE (FNP) associated with Floresville?
Public fields place YOMARA TIETZE (FNP) around Floresville, Texas. Always confirm the exact site before visiting.
Does YOMARA TIETZE (FNP) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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