ANDREA KAYE DIETZENBACH P.A.
NPI 1205141835
Physician Assistant - Medical in West Union, IA

Q: What is Andrea Dietzenbach's NPI number?

The NPI number for Andrea Dietzenbach is 1205141835. It was assigned to this individual provider in the NPPES registry on August 6, 2010. The provider is also known as Andrea Kaye Jirak.

Q: What is Andrea Dietzenbach's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Active since August 06, 2010PECOS EnrolledAccepts Medicare Assignment

110 JEFFERSON ST, WEST UNION, IA 52175(563) 422-3817 Get Directions Write a Review

NPPES record last updated: April 8, 2015. Verified against the NPPES registry weekly; last sync: August 30, 2026.

On this page

About Andrea Kaye Dietzenbach P.a. NPPES

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

ANDREA KAYE DIETZENBACH P.A. (NPI 1205141835) is an individual medical provider in West Union, Iowa, licensed in Iowa (002140) and active in the NPI registry since August 2010. She is enrolled in Medicare PECOS, is affiliated with Gundersen Palmer Lutheran Hospital And Clinics, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1205141835

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameANDREA KAYE DIETZENBACHCredential: P.A.

Location Address110 JEFFERSON STWest Union, IA 52175-1022

Mailing Address1836 South AveLa Crosse, WI 54601-5429 · (608) 782-7300

Phone(563) 422-3817

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateAugust 6, 2010

Last NPPES UpdateApril 8, 2015

✔ NPI 1205141835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in IA · 002140

110 JEFFERSON ST, West Union, IA 52175

Open in Google Maps ↗

Other Names 1

Former Name (1)Andrea Kaye Jirak

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Quartz.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

Andrea Kaye Dietzenbach P.a. 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 ID840315420

PECOS Enrollment IDI20100920000766

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.

Hospital Affiliations CMS Care Compare 2

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

Gundersen Palmer Lutheran Hospital And Clinics

Critical Access Hospitals · West Union, IA

OwnershipVoluntary non-profit - Private

CMS Certification Number161316

Location112 Jefferson StreetWest Union, IA 52175 · Fayette County

Emergency services

Gundersen Lutheran Medical Center

Acute Care Hospitals · La Crosse, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520087

Location1910 South AveLa Crosse, WI 54601 · La Crosse County

Emergency services Birthing friendly

Referred Medical Equipment & Supplies CMS DME claims 17

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

4 suppliers34 claims70 services$5.45 avg. paid by Medicare

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

1 supplier11 claims11 services$46.40 avg. paid by Medicare

Tracheal suction catheter, any type other than closed system, each A4624

DME-Other DME · category DE000N

1 supplier12 claims720 services$2.52 avg. paid by Medicare

Tracheostomy care kit for established tracheostomy A4629

DME-Orthotic Devices · category DF000N

1 supplier12 claims360 services$3.83 avg. paid by Medicare

Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6402

DME-Medical/Surgical Supplies · category DA023N

1 supplier12 claims600 services$0.11 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

1 supplier11 claims22 services$44.59 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

2 suppliers12 claims12 services$22.54 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

2 suppliers18 claims104 services$2.79 avg. paid by Medicare

Tracheostomy tube collar/holder, each A7526

DME-Orthotic Devices · category DF000N

1 supplier12 claims60 services$3.28 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

1 supplier17 claims17 services$13.72 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

2 suppliers15 claims15 services$7.27 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

1 supplier23 claims23 services$36.29 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

1 supplier11 claims1,650 services$0.03 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

4 suppliers14 claims1,170 services$0.08 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

1 supplier11 claims660 services$0.74 avg. paid by Medicare

Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram J7644

DME-Drugs Administered Through DME · category DG006N

1 supplier11 claims330 services$0.16 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

3 suppliers23 claims23 services$22.60 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 11

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

GERALYN R ZUERCHER M.D.

Family Medicine