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MICHELE DEITERICH CRNA
NPI 1104249093
Nurse Anesthetist, Certified Registered in Ephrata, PA

Active since January 28, 2014Accepts Medicare Assignment
169 MARTIN AVE, EPHRATA, PA 17522(717) 733-0311(717) 721-5861 Get Directions Write a Review

NPPES record last updated: May 15, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 15, 2025, Nov 19, 2024, Sep 26, 2024 and 1 more (4 updates tracked since 2023).

About Michele Deiterich Crna NPPES

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

MICHELE DEITERICH CRNA (NPI 1104249093) is an individual nurse anesthetist, certified registered in Ephrata, Pennsylvania, licensed in Pennsylvania (RN296687L) and active in the NPI registry since January 2014. She is affiliated with Wellspan Good Samaritan Hospital, maintains 5 additional practice locations, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1104249093
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameMICHELE DEITERICHCredential: CRNA
Location Address169 MARTIN AVEEphrata, PA 17522-1724
Mailing Address601 Memory LnYork, PA 17402-2231 · (717) 851-1405
Phone(717) 733-0311
Fax(717) 721-5861
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateJanuary 28, 2014
Last NPPES UpdateMay 15, 20254 updates tracked since enumeration
NPPES CertifiedMay 15, 2025
✔ NPI 1104249093 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in PA · RN296687L
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
169 MARTIN AVE, Ephrata, PA 17522
Open in Google Maps ↗

Secondary Practice Locations 5

Location 1252 S 4th StLebanon, PA 17042-6111 · Phone (717) 270-7500 · Fax (717) 228-1642
Location 225 Monument RdYork, PA 17403-5060 · Phone (717) 741-8250
Location 31001 S George StYork, PA 17403-3676 · Phone (717) 812-7687
Location 44150 Barrett BlvdEphrata, PA 17522-8979 · Phone (717) 859-5160
Location 535 Erick RdLancaster, PA 17601-3111 · Phone (717) 690-0811

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

Michele Deiterich Crna 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 ID7214150705
PECOS Enrollment IDI20140602002126

Medicare Billing Reassignments

2

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

Wellspan Medical Group
0.1 mi
Pulmonary Disease
175 MARTIN AVE STE 320
Ephrata, PA 17522
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 3,080 clinicians in this Medicare group
NPI 1215524913 (717) 851-4440
Tower Health Medical Group
15 mi
Sports Medicine
1350 BROADCASTING RD STE 201
Wyomissing, PA 19610
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,473 clinicians in this Medicare group
NPI 1891036166 (610) 685-9600

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

Areas of Expertise CMS Part B claims 2

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.

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
12 services12 patients
Anesthesia for procedure on small and large bowel using an endoscope 00813
Anesthesia for an endoscopic procedure on the small and large bowel ensures comfort and relaxation during the procedure. It involves administering medicine to help you sleep or feel drowsy. This allows the doctor to examine your bowels without causing you discomfort or pain.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Wellspan Good Samaritan Hospital

Acute Care Hospitals · Lebanon, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390066
Location252 South 4th StreetLebanon, PA 17042 · Lebanon County
Emergency services Birthing friendly

Wellspan Ephrata Community Hospital

Acute Care Hospitals · Ephrata, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390225
Location169 Martin AvenueEphrata, PA 17522 · Lancaster County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17522 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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 20

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

RAKESH BARAK M.D.
Radiology (Diagnostic Radiology)
169 MARTIN AVE
EPHRATA, PA 17522
Lancaster County (717) 738-6414
JAYME N OBERHOLTZER CRNA
Nurse Anesthetist, Certified Registered
169 MARTIN AVE
EPHRATA, PA 17522
Lancaster County (717) 738-6618
USMAN ZULFIQAR M.D.
Hospitalist
169 MARTIN AVE
EPHRATA, PA 17522
Lancaster County (717) 721-4740
ALYSSA MARIE DENNEY CF-SLP
Speech-Language Pathologist
169 MARTIN AVE
EPHRATA, PA 17522
Lancaster County (717) 733-0311
MICHAEL STENGEL M.D.
Emergency Medicine
169 MARTIN AVE
EPHRATA, PA 17522
Lancaster County (717) 738-6420
KAITLYN DOUGLAS CRNA
Student in an Organized Health Care Education/Training Program
169 MARTIN AVE
EPHRATA, PA 17522
Lancaster County (717) 733-0311
PAVLIK TELEGUZ CRNP
Nurse Practitioner (Family)
169 MARTIN AVE
EPHRATA, PA 17522
Lancaster County (717) 721-4740
JOHN SHAND MD
Psychiatry & Neurology (Psychiatry)
169 MARTIN AVE
EPHRATA, PA 17522
Lancaster County (717) 733-0311

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 Michele Deiterich's NPI number?

The NPI number for Michele Deiterich is 1104249093. It was assigned to this individual provider in the NPPES registry on January 28, 2014.

Where is Michele Deiterich located?

Michele Deiterich practices at 169 Martin Ave, Ephrata, PA 17522. The listed phone number is (717) 733-0311.

What is Michele Deiterich's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Michele Deiterich enrolled in Medicare?

Yes. Michele Deiterich 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 Michele Deiterich's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michele Deiterich reassigns Medicare benefits to 2 organizations: Wellspan Medical Group (Ephrata, PA) and Tower Health Medical Group (Wyomissing, PA). 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 Michele Deiterich's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Michele Deiterich affiliated with any hospitals?

According to CMS data, Michele Deiterich is affiliated with Wellspan Good Samaritan Hospital and Wellspan Ephrata Community Hospital.

When was this NPI record last updated?

The NPPES record for Michele Deiterich was last updated on May 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.