KIIRA M TIETJEN (DNP ARNP PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1366992091
Psychiatric/Mental Health Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for KIIRA M TIETJEN (DNP ARNP PMHNP)
PO BOX 3649
SPOKANE, WA 992203649
Phone:
Type: Mailing
107, East Rowan Avenue, Hillyard, Spokane, Spokane County, Washington, 99207, United States
SPOKANE, WA 992071240
Phone: (509) 252-6446
Fax: (509) 227-7070
Type: Location
20006 E KNOX CT
LIBERTY LAKE, WA 990169222
Phone: (509) 953-6381
Type: Mailing
140 S ARTHUR ST STE 506
SPOKANE, WA 992022260
Phone: (509) 934-0245
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 14 Open Payments records for all available years, with a total value of $2,303.
Total Amount is formed as General ($2,303) + Research ($0) + Ownership ($0) = $2,303.
Last reported payment date: 2024-11-07 • Largest payer in this snapshot: Neuronetics, Inc. ($2,197).
Total Amount
$2,303
General + Research + Ownership
Payments
14
Total payment records
General Amount
$2,303
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Neuronetics, Inc. | $2,197 |
| ITI, Inc. | $106 |
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: 2016-12-02
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20161202000652 | I | Nurse Practitioner | WA | TBD |
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.
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 99220)
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