HEIDI DITTRICH NP
NPI 1043989106
Nurse Practitioner - Family in Petaluma, CA

Q: What is Heidi Dittrich's NPI number?

The NPI number for Heidi Dittrich is 1043989106. It was assigned to this individual provider in the NPPES registry on September 10, 2021.

Q: What is Heidi Dittrich's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Heidi Dittrich was last updated on October 22, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 10, 2021PECOS Enrolled

1179 N MCDOWELL BLVD, PETALUMA, CA 94954(707) 559-7500(707) 559-7620 Get Directions Write a Review

NPPES record last updated: October 22, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 22, 2021, Sep 10, 2021 (2 updates tracked since 2021).

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About Heidi Dittrich Np NPPES

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

HEIDI DITTRICH NP (NPI 1043989106) is an individual family provider in Petaluma, California, licensed in California (95018833) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043989106

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameHEIDI DITTRICHCredential: NP

Location Address1179 N MCDOWELL BLVDPetaluma, CA 94954-6559

Mailing Address1179 N Mcdowell BlvdPetaluma, CA 94954-6559 · (707) 559-7500

Phone(707) 559-7500

Fax(707) 559-7620

Sole ProprietorNo

Enumeration DateSeptember 10, 2021

Last NPPES UpdateOctober 22, 20212 updates tracked since enumeration

NPPES CertifiedOctober 22, 2021

✔ NPI 1043989106 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · 95018833

Also ListedRegistered NurseTaxonomy 163W00000X · License 95203765 (CA)

1179 N MCDOWELL BLVD, Petaluma, CA 94954

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Heidi Dittrich Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94954 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

$96.16 typical visit price

range $63.04 – $187.01

Typical copayment $24.04 (range $15.76 – $46.75)

Most-billed visit code 99203

Established Patient

$109.88 typical visit price

range $21.02 – $153.40

Typical copayment $27.47 (range $5.25 – $38.35)

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.

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