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MS. SHELLENE DIETRICH FNP
NPI 1073850665
Nurse Practitioner - Family in Brooklyn, NY

Active since January 15, 2013PECOS Enrolled
4802 10TH AVE, BROOKLYN, NY 11219(718) 283-6000 Get Directions Write a Review

NPPES record last updated: January 15, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Shellene Dietrich Fnp NPPES

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

MS. SHELLENE DIETRICH FNP (NPI 1073850665) is an individual family provider in Brooklyn, New York, licensed in New York (F3375231) and active in the NPI registry since January 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073850665
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. SHELLENE DIETRICHCredential: FNP
Location Address4802 10TH AVEBrooklyn, NY 11219-2916
Mailing Address4802 10th AveBrooklyn, NY 11219-2916 · (718) 283-6000
Phone(718) 283-6000
Sole ProprietorYes
Enumeration DateJanuary 15, 2013
✔ NPI 1073850665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · F3375231
4802 10TH AVE, Brooklyn, NY 11219
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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)

Ms. Shellene Dietrich Fnp 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 11219 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

CARLOS BUZZETTA
Legal Medicine
4802 10TH AVE
BROOKLYN, NY 11219
Kings County (718) 283-8961
LOBELYS A ANICET PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
4802 10TH AVE
BROOKLYN, NY 11219
Kings County (718) 283-5660
CHIAMAKA MEREMETOH MD
Student in an Organized Health Care Education/Training Program
4802 10TH AVE
BROOKLYN, NY 11219
Kings County (718) 283-6000
JESSE M. GALINA
Student in an Organized Health Care Education/Training Program
4802 10TH AVE
BROOKLYN, NY 11219
Kings County (718) 283-6000
DR. ABANOUB ALFY NAKHLA MD
Student in an Organized Health Care Education/Training Program
4802 10TH AVE
BROOKLYN, NY 11219
Kings County (718) 283-6000
CHRISTINE LI MD
Student in an Organized Health Care Education/Training Program
4802 10TH AVE
BROOKLYN, NY 11219
Kings County (718) 283-6000
MS. KATRINA W SOWERBY FNP
Nurse Practitioner (Family)
4802 10TH AVE, PRE-TESTING
BROOKLYN, NY 11219
Kings County (718) 283-7300
MAIMONIDES MEDICAL CENTER MAIMONIDES INFECTIOUS DISEASES FPP
Internal Medicine (Infectious Disease)
4802 10TH AVE
BROOKLYN, NY 11219
Kings County (718) 283-8773

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 Shellene Dietrich's NPI number?

The NPI number for Shellene Dietrich is 1073850665. It was assigned to this individual provider in the NPPES registry on January 15, 2013.

Where is Shellene Dietrich located?

Shellene Dietrich practices at 4802 10th Ave, Brooklyn, NY 11219. The listed phone number is (718) 283-6000.

What is Shellene Dietrich's specialty?

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

Is Shellene Dietrich enrolled in Medicare?

Yes. Shellene Dietrich is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shellene Dietrich was last updated on January 15, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.