Individual provider Active NPI

Heather Joy Tietjen, NP

  • Nurse Practitioner
  • Sioux Falls, SD
National Provider Identifier
1639148901
Registry record updated Dec 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
CP000856 Issued in SD
Practice address
1309 W 17TH St
Sioux Falls, SD 57104-4663
Phone
(605) 328-6001
NPI assigned
Mar 17, 2006
Last updated
Dec 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X CP000856 SD Primary
Family Nurse Practitioner 363LF0000X R1353060 MN

Addresses

Primary practice location

1309 W 17TH St
Sioux Falls, SD 57104-4663

Mailing address

PO Box 5074
Sioux Falls, SD 57117-5074

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, SD2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20041220000316 MN Practitioner - Nurse Practitioner 2062479207 Reassigns benefits to 1 organization
I20140818000853 SD Practitioner - Nurse Practitioner 2062479207 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sanford Medical CenterGroup PAC ID 8325950215, 847 clinicians

Practice addresses (Care Compare)

1309 W 17TH St
Sioux Falls, SD 57104-8805

2601 S Ellis Rd
Sioux Falls, SD 57106-7067
Phone (605) 332-2883

4405 E 26TH St
Sioux Falls, SD 57103-4187
Phone (605) 332-2883

6110 S Minnesota Ave
Sioux Falls, SD 57108-2549
Phone (605) 328-5800

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
CP000856SDMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Avera McKennan CurrentSince Nov 8, 2021 Accepting new patients
Sanford Medical Center Nurse Practitioner CurrentSince May 8, 2023 Accepting new patients
Avera McKennan CurrentSince Nov 8, 2021 Accepting new patients
Avera McKennan Current Accepting new patients
Sanford Clinic CurrentSince Jun 1, 2024 Accepting new patients
Sanford Clinic CurrentSince Jun 1, 2024 Accepting new patients
Sanford Clinic Nurse Practitioner Current Accepting new patients
Avera McKennan Current Accepting new patients
Avera McKennan Past Accepting new patients
Sanford Medical Center Fargo Past Accepting new patients

Locations

450 Eastvold Ave
Ortonville, MN 56278
Phone (320) 839-2502

465 Eastvold Ave
Ortonville, MN 56278
Phone (320) 839-6157

111 E 10th St
Dell Rapids, SD 57022
Phone (605) 428-5446

525 N Foster St
Mitchell, SD 57301
Phone (605) 995-2000

1309 W 17th St
Sioux Falls, SD 57104
Phone (605) 328-6001

4405 E 26th St
Sioux Falls, SD 57103
Phone (605) 328-9000

401 9th Ave NW
Watertown, SD 57201
Phone (605) 886-9317

Interoperability endpoints

  • Direct secure messaging: heather.tietjen@avera.sdhealthlink.net

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764720000000",
    "number": "1639148901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5074",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571175074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 W 17TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571044663",
            "telephone_number": "605-328-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIETJEN",
        "first_name": "HEATHER",
        "middle_name": "JOY",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-17",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SD",
            "license": "CP000856",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "R1353060",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.