MS. DEANNA L DITTLOFF
NPI 1083790240
Counselor - Professional in De Pere, WI

Active since October 31, 2006PECOS EnrolledAccepts Medicare Assignment
1325 ANGELS PATH, DE PERE, WI 54115(920) 338-2855(920) 338-9270 Get Directions Write a Review

NPPES record last updated: November 23, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 23, 2020, Apr 10, 2019 (2 updates tracked since 2019).

About Ms. Deanna L Dittloff NPPES

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

MS. DEANNA L DITTLOFF (NPI 1083790240) is an individual professional provider in De Pere, Wisconsin, licensed in Wisconsin (5795-125) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1083790240
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. DEANNA L DITTLOFF
Location Address1325 ANGELS PATHDe Pere, WI 54115-4050
Mailing AddressPo Box 22040Green Bay, WI 54305-2040 · (920) 445-7222 · Fax (920) 445-7289
Fax(920) 338-9270
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateOctober 31, 2006
Last NPPES UpdateNovember 23, 20202 updates tracked since enumeration
NPPES CertifiedNovember 23, 2020
✔ NPI 1083790240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in WI · 5795-125
1325 ANGELS PATH, De Pere, WI 54115

Accepted 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

Ms. Deanna L Dittloff 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 ID5890145163
PECOS Enrollment IDI20231228002398
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

2

Medicare enrollment records show Deanna Dittloff reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mental Health
1325 ANGELS PATH
De Pere, WI 54115
  • Reassigned Medicare billing, Wisconsin enrollment
  • 106 clinicians in this Medicare group
Pediatrics
555 REDBIRD CIR
De Pere, WI 54115
  • Reassigned Medicare billing, Wisconsin enrollment
  • 875 clinicians in this Medicare group

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

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.

Nurse Practitioner (Psychiatric/Mental Health)
1325 ANGELS PATH
DE PERE, WI 54115
Counselor (Professional)
1325 ANGELS PATH
DE PERE, WI 54115
Nurse Practitioner (Psychiatric/Mental Health)
1325 ANGELS PATH
DE PERE, WI 54115
Social Worker (Clinical)
1325 ANGELS PATH
DE PERE, WI 54115
Social Worker (Clinical)
1325 ANGELS PATH
DE PERE, WI 54115
Social Worker (Clinical)
1325 ANGELS PATH
DE PERE, WI 54115
Social Worker (Clinical)
1325 ANGELS PATH
DE PERE, WI 54115
Psychiatry & Neurology (Psychiatry)
1325 ANGELS PATH
DE PERE, WI 54115

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 Deanna Dittloff's NPI number?

The NPI number for Deanna Dittloff is 1083790240. It was assigned to this individual provider in the NPPES registry on October 31, 2006.

Where is Deanna Dittloff located?

Deanna Dittloff practices at 1325 Angels Path, De Pere, WI 54115. The listed phone number is (920) 338-2855.

What is Deanna Dittloff's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Deanna Dittloff enrolled in Medicare?

Yes. Deanna Dittloff 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 Deanna Dittloff's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Deanna Dittloff reassigns Medicare benefits to 2 organizations: Bellin Psychiatric Center Inc (De Pere, WI) and Bellin Memorial Hospital Inc (De Pere, WI). 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 Deanna Dittloff's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Deanna Dittloff accept?

Health plans from Aspirus Health Plan, CareSource (Common Ground Healthcare) and UnitedHealthcare list Deanna Dittloff 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 Deanna Dittloff was last updated on November 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.