AMY L DIETRICH PA C
NPI 1053387522
Physician Assistant in Dakota Dunes, SD

Q: What is Amy Dietrich's NPI number?

The NPI number for Amy Dietrich is 1053387522. It was assigned to this individual provider in the NPPES registry on February 24, 2006. The provider is also known as Amy L Petersen.

Q: What is Amy Dietrich's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Amy Dietrich was last updated on May 26, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since February 24, 2006PECOS EnrolledAccepts Medicare Assignment

705 SIOUX POINT RD, STE 100, DAKOTA DUNES, SD 57049(605) 217-5500(605) 217-5515 Get Directions Write a Review

NPPES record last updated: May 26, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Amy L Dietrich Pa C NPPES

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

AMY L DIETRICH PA C (NPI 1053387522) is an individual physician assistant in Dakota Dunes, South Dakota, licensed in South Dakota (0598) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS, is affiliated with St Lukes Regional Medical Center, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1053387522

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameAMY L DIETRICHCredential: PA C

Location Address705 SIOUX POINT RD, STE 100Dakota Dunes, SD 57049

Mailing Address705 Sioux Point Rd, Ste 100Dakota Dunes, SD 57049 · (605) 217-5500 · Fax (605) 217-5515

Phone(605) 217-5500

Fax(605) 217-5515

Sole ProprietorNo

Medical School CMSOtherGraduated 1996

Enumeration DateFebruary 24, 2006

Last NPPES UpdateMay 26, 2010

✔ NPI 1053387522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in SD · 0598✔ Licensed in SD · L1728

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

705 SIOUX POINT RD, Dakota Dunes, SD 57049

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Other Names 1

Former Name (1)Amy L Petersen

Other Identifiers 1

Medicare UPINS74494

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Amy L Dietrich Pa C 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 ID4880797125

PECOS Enrollment IDI20070307000348, I20100511000621

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.

Areas of Expertise CMS Part B claims 15

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Destruction of precancer skin growth, 2-14 growths 17003

This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.

4,214 services564 patients

Destruction of precancer skin growth, 1 growth 17000

"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.

1,113 services686 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

1,035 services713 patients

Destruction of skin growth, 1-14 growths 17110

"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.

347 services288 patients

Biopsy of related skin growth, first growth 11102

A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.

197 services180 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

129 services124 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

118 services103 patients

Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg) J7308

Aminolevulinic Acid HCL is a medication applied to the skin to treat certain types of skin conditions. It works by making the skin more sensitive to light, which helps to kill abnormal skin cells. The 20% solution is a single dose of 354 mg.

76 services37 patients

Application of light by qualified health care professional to destroy precancer skin growth 96573

This procedure involves a healthcare professional using a special light to target and destroy precancerous skin growths. It's a non-invasive method aimed at preventing the development of skin cancer. The process is safe, performed by trained professionals, and usually quick.

60 services37 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

45 services45 patients

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

43 services30 patients

Injection into skin growth, 1-7 growths 11900

This procedure involves injecting medication into 1-7 skin growths. The medication helps to reduce the size of the growths or completely eliminate them. It's a simple, quick, and usually painless process performed by a medical professional.

38 services30 patients

Biopsy of related skin growth, each additional growth 11103

A biopsy of related skin growth is a procedure where a small piece of skin growth is removed for testing. If additional growths are identified, they may also be biopsied. This helps in diagnosing skin conditions and planning appropriate treatment.

35 services31 patients

Removal of skin tag, 1-15 skin tags 11200

Skin tag removal is a simple procedure where small, benign growths on the skin are carefully removed. This can be achieved through several methods such as freezing, burning, or cutting off the skin tags. The process is quick, typically painless with local anesthesia, and aids in skin smoothness.

17 services17 patients

Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm 17261

This procedure involves the removal of a cancerous skin growth on the trunk, arms, or legs that is between 0.6 and 1.0 cm in size. The goal is to eliminate the cancerous cells and prevent further spread. The method of destruction may vary, including methods such as surgery, laser, or cryotherapy.

12 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Lukes Regional Medical Center

Acute Care Hospitals · Sioux City, IA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number160146

Location2720 Stone Park BoulevardSioux City, IA 51104 · Woodbury County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57049 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

$85.21 typical visit price

range $55.52 – $167.23

Typical copayment $21.30 (range $13.88 – $41.80)

Most-billed visit code 99203

Established Patient

$69.20 typical visit price

range $18.08 – $137.08

Typical copayment $17.30 (range $4.52 – $34.27)

Most-billed visit code 99213

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 7

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

WILLIAM R BLANKENSHIP MD

Internal Medicine (Endocrinology, Diabetes & Metabolism)

705 SIOUX POINT RD, SUITE 100
DAKOTA DUNES, SD 57049

Union County (605) 217-5500

BRENDA L VAN SCOYK PA C

Physician Assistant (Surgical)

705 SIOUX POINT RD, STE 100
DAKOTA DUNES, SD 57049

Union County (605) 217-5500

ROBERT E ANDERSON MD

Surgery

705 SIOUX POINT RD, SUITE 100
DAKOTA DUNES, SD 57049

Union County (605) 217-5500

WILLIAM A RIZK MD

Surgery

705 SIOUX POINT RD, SUITE 100
DAKOTA DUNES, SD 57049

Union County (605) 217-5500

MERCY WEIGHT LOSS CENTER AT DAKOTA DUNES

Specialist

705 SIOUX POINT RD, SUITE 100
DAKOTA DUNES, SD 57049

Union County (605) 217-5566

PAUL ERIC JOHNSON MD

Surgery

705 SIOUX POINT RD, SUITE 100
DAKOTA DUNES, SD 57049

Union County (605) 217-5500

LARRY D FOSTER MD

Surgery

705 SIOUX POINT RD, SUITE 100
DAKOTA DUNES, SD 57049

Union County (605) 217-5500

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 Amy Dietrich's NPI number?

The NPI number for Amy Dietrich is 1053387522. It was assigned to this individual provider in the NPPES registry on February 24, 2006. The provider is also known as Amy L Petersen.

Where is Amy Dietrich located?

Amy Dietrich practices at 705 Sioux Point Rd Ste 100, Dakota Dunes, SD 57049. The listed phone number is (605) 217-5500.

What is Amy Dietrich's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Amy Dietrich enrolled in Medicare?

Yes. Amy Dietrich 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.

What insurance does Amy Dietrich accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Avera Health Plans and 3 other insurers list Amy Dietrich 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.

Is Amy Dietrich affiliated with any hospitals?

According to CMS data, Amy Dietrich is affiliated with St Lukes Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Amy Dietrich was last updated on May 26, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.