NICOLE DIETZE ASW
NPI 1023486859
Social Worker in Vallejo, CA
About Nicole Dietze Asw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICOLE DIETZE ASW (NPI 1023486859) is an individual social worker in Vallejo, California and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in Framingham, and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Nicole Dietze Asw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Nicole Dietze reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Vallejo, CA 94589
- Reassigned Medicare billing, California enrollment
- 20,078 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Nicole Dietze's NPI number?
The NPI number for Nicole Dietze is 1023486859. It was assigned to this individual provider in the NPPES registry on September 10, 2015.
Where is Nicole Dietze located?
Nicole Dietze practices at 243 Georgia St Ste B, Vallejo, CA 94590. The listed phone number is (707) 556-8100.
What is Nicole Dietze's specialty?
The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.
Is Nicole Dietze enrolled in Medicare?
Yes. Nicole Dietze is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Nicole Dietze's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Dietze reassigns Medicare benefits to Permanente Medical Group Inc (Vallejo, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicole Dietze's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Nicole Dietze was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Nicole Dietze, ASW · NPI 1023486859
Social Worker provider in Vallejo, California. Individual provider, active in the CMS NPPES registry since September 10, 2015.
## Identity
- **NPI:** 1023486859 (Entity type: Individual)
- **Enumerated:** September 10, 2015
- **Primary specialty:** Social Worker · taxonomy 104100000X
- **Sole proprietor:** No
## Practice location
- **Address:** 243 GEORGIA ST STE B, Vallejo, CA 94590-5905
- **Phone:** (707) 556-8100
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Permanente Medical Group Inc (NPI 1336222397, Vallejo, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** March 17, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1023486859) · Data from the CMS NPPES public registry.