Jessica Lietzan, FNP-C
NPI 1043901085 · Family Nurse Practitioner · Manitowoc, WI
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jessica Lietzan, FNP-C is a Family Nurse Practitioner provider in Manitowoc, WI (NPI 1043901085).
Provider details
- NPI number
- 1043901085
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP-C
- Sex
- Female
- Sole proprietor
- No
- License
- 13101-33 (WI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
3 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
284 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 139 | $101 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 54 | $13 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 40 | $71 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 23 | $104 |
| Administration of Influenza Virus VaccineG0008 | 15 | $30 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 49 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 120 | 54 |
| Losartan Potassium | 70 | 39 |
| Gabapentin | 69 | 25 |
| Omeprazole | 56 | 22 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 46 | 29 |
| Simvastatin | 46 | 18 |
| Amlodipine Besylate |
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-05-19
- Last updated
- 2023-05-19
- Certified
- 2022-07-13
Frequently asked questions
- What is Jessica Lietzan's NPI number?
- Jessica Lietzan's National Provider Identifier (NPI) is 1043901085, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jessica Lietzan's specialty?
- Jessica Lietzan is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jessica Lietzan located?
- Jessica Lietzan's practice location on file with NPPES is 1650 S 41st St, Manitowoc, WI 54220-7316.
- What is Jessica Lietzan's phone number?
- The practice phone number listed in the NPPES registry for Jessica Lietzan is (920) 320-2436.
- Does Jessica Lietzan accept Medicare?
- Jessica Lietzan is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jessica Lietzan's NPI active?
- Yes — Jessica Lietzan's NPI (1043901085) is active in the NPPES registry as of the last update on 2023-05-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.