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MATTHEW DIETZ PMHNP-BC, RN
NPI 1043712862
Nurse Practitioner - Psychiatric/Mental Health in Mentor, OH

Active since March 07, 2018PECOS EnrolledAccepts Medicare Assignment
9220 MENTOR AVE, MENTOR, OH 44060(440) 255-1700(877) 242-9583 Get Directions Write a Review

NPPES record last updated: June 9, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 4, 2025, Nov 10, 2019, Mar 7, 2018 (3 updates tracked since 2018).

About Matthew Dietz Pmhnp-bc, Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MATTHEW DIETZ PMHNP-BC, RN (NPI 1043712862) is an individual psychiatric/mental health provider in Mentor, Ohio, licensed in Texas (AP143192) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS and is a graduate of University Of Texas Medical School At San Antonio (2019).

NPPES Registry Identity

NPI1043712862
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMATTHEW DIETZCredential: PMHNP-BC, RN
Location Address9220 MENTOR AVEMentor, OH 44060-6412
Mailing Address9220 Mentor AveMentor, OH 44060-6412 · (440) 255-1700 · Fax (877) 242-9583
Phone(440) 255-1700
Fax(877) 242-9583
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 2019
Enumeration DateMarch 7, 2018
Last NPPES UpdateJune 9, 20263 updates tracked since enumeration
NPPES CertifiedJune 9, 2026
✔ NPI 1043712862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in TX · AP143192✔ Licensed in OH · RN394717
Also ListedRegistered NurseTaxonomy 163W00000X · License 854944 (TX)
9220 MENTOR AVE, Mentor, OH 44060
Open in Google Maps ↗

Other Identifiers 1

Medicaid0014092OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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

Matthew Dietz Pmhnp-bc, Rn 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.

PECOS PAC ID143689315
PECOS Enrollment IDI20230706001312
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Matthew Dietz reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Crossroads Health
0.1 mi
Federally Qualified Health Center (FQHC)
9220 MENTOR AVE
Mentor, OH 44060
  • Reassigned Medicare billing, Ohio enrollment
  • 34 clinicians in this Medicare group
NPI 1093307654 (440) 354-9924
Signature Health, Inc
4.5 mi
Mental Health (Including Community Mental Health Center)
38876 MENTOR AVE
Willoughby, OH 44094
  • Reassigned Medicare billing, Ohio enrollment
  • 342 clinicians in this Medicare group
NPI 1477575348 (440) 953-9999
Chattree And Associates Ltd
18 mi
Mental Health (Including Community Mental Health Center)
3690 ORANGE PL STE 320
Beachwood, OH 44122
  • Reassigned Medicare billing, Ohio enrollment
  • 10 clinicians in this Medicare group
NPI 1962448654 (216) 831-1494

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44060 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTINA A ANDERSON MA
Behavior Technician
9220 MENTOR AVE
MENTOR, OH 44060
Lake County (440) 354-9924
JANET MOTON-DJERMANI LPN
Community/Behavioral Health
9220 MENTOR AVE
MENTOR, OH 44060
Lake County (440) 354-9924
DUSTIN WHELDON
Case Manager/Care Coordinator
9220 MENTOR AVE
MENTOR, OH 44060
Lake County (440) 639-3581
MICHELE ROBINSON
Licensed Practical Nurse
9220 MENTOR AVE
MENTOR, OH 44060
Lake County (440) 639-3581
LINA IVERSON
Case Manager/Care Coordinator
9220 MENTOR AVE
MENTOR, OH 44060
Lake County (440) 639-3581
GABRIELLA PARRISH
Case Manager/Care Coordinator
9220 MENTOR AVE
MENTOR, OH 44060
Lake County (440) 639-3581
HANNA GRACE HOLEN
Substance Abuse Rehabilitation Facility
9220 MENTOR AVE
MENTOR, OH 44060
Lake County (440) 255-1700
CHARLOTTE DAVIS
Case Manager/Care Coordinator
9220 MENTOR AVE
MENTOR, OH 44060
Lake County (440) 639-3581

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 Matthew Dietz's NPI number?

The NPI number for Matthew Dietz is 1043712862. It was assigned to this individual provider in the NPPES registry on March 7, 2018.

Where is Matthew Dietz located?

Matthew Dietz practices at 9220 Mentor Ave, Mentor, OH 44060. The listed phone number is (440) 255-1700.

What is Matthew Dietz's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Matthew Dietz enrolled in Medicare?

Yes. Matthew Dietz 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 organizations bill Medicare for Matthew Dietz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Dietz reassigns Medicare benefits to 3 organizations: Crossroads Health (Mentor, OH), Signature Health, Inc (Willoughby, OH) and Chattree And Associates Ltd (Beachwood, OH). Each 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 Matthew Dietz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Matthew Dietz accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 3 other insurers list Matthew Dietz as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Matthew Dietz was last updated on June 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.