Tamara Jane Thissen, BSN, RN-C, CEN, AMB-
NPI 1710858436ActiveIndividual· Registered Nurse, Emergency· Petaluma, CA
Registered Nurse, Emergency (BSN, RN-C, CEN, AMB-) in Petaluma, California, licensed in CA, with an NPI issued in September 2025. Enrolled in Medicare as practitioner - nurse practitioner.
Overview
| NPI | 1710858436 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | BSN, RN-C, CEN, AMB- |
| Sole proprietor | No |
| NPI issued | Sep 16, 2025 |
| Last updated in NPPES | Sep 16, 2025 |
| Certified by provider | Sep 16, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Registered Nurse, Emergency Primary | 163WE0003X | 725175 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (CA) |
|---|
Education and affiliations
| Graduation year | 2026 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Other Registered Nurse, Emergency providers in Petaluma
- 1033958822