Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Sierra Tietge

Individual provider Physician Assistant · NPI 1780224378

Sierra Tietge is a Physician Assistant in Glendale, Arizona. Qualified in 2019, 7 years ago. Practices with Nextcare Arizona I Jv LLC, a 301-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Alaska and Arizona.

Years since qualifying
7
Licensed in
AK, AZ
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

3730 W Happy Valley Rd Ste 100
Glendale, AZ 85310-3283
Phone: (623) 277-4140
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3401 Minnesota Dr Ste 100, Anchorage, AK 99503-3684 — (907) 677-9200

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 8884 (AZ)
Physician Assistant Taxonomy 363A00000X · Licence 153672 (AK)

Record details

NPI number1780224378
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 10, 2020
Last updated in NPPESSeptember 21, 2022
Certification dateSeptember 21, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Nextcare Arizona I Jv Llc — 301 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations12 on file with Medicare

Other providers in Glendale