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JENNY DIETZ
NPI 1053964452
Nurse Practitioner - Psychiatric/Mental Health in Altoona, IA

Active since July 24, 2019PECOS Enrolled
602 8TH ST SW, ALTOONA, IA 50009(515) 414-1830 Get Directions Write a Review

NPPES record last updated: May 4, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 4, 2024, May 24, 2022, Apr 9, 2021 and 2 more (5 updates tracked since 2019).

About Jenny Dietz NPPES

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

JENNY DIETZ (NPI 1053964452) is an individual psychiatric/mental health provider in Altoona, Iowa, licensed in Iowa (G155693) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Harmony.

NPPES Registry Identity

NPI1053964452
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameJENNY DIETZ
Location Address602 8TH ST SWAltoona, IA 50009-2301
Mailing Address11809 241st AveHarmony, MN 55939-6515 · (260) 265-0799
Phone(515) 414-1830
Sole ProprietorYes
Enumeration DateJuly 24, 2019
Last NPPES UpdateMay 4, 20245 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2022
✔ NPI 1053964452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in IA · G155693✔ Licensed in AZ · 233383
602 8TH ST SW, Altoona, IA 50009
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Secondary Practice Location 1

Location 111809 241st AveHarmony, MN 55939-6515 · Phone (719) 749-8100

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jenny Dietz 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 50009 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
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.

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 Jenny Dietz's NPI number?

The NPI number for Jenny Dietz is 1053964452. It was assigned to this individual provider in the NPPES registry on July 24, 2019.

Where is Jenny Dietz located?

Jenny Dietz practices at 602 8th St SW, Altoona, IA 50009. The listed phone number is (515) 414-1830.

What is Jenny Dietz's specialty?

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

Is Jenny Dietz enrolled in Medicare?

Yes. Jenny Dietz is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jenny Dietz was last updated on May 4, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.