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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ROXANA MICHELLE DIETRICH PA
NPI 1215509617
Physician Assistant in Edinburg, TX

Active since July 14, 2021PECOS Enrolled
94.88/100
CMS Quality Rating
303 CONQUEST, EDINBURG, TX 78539(956) 720-0450(956) 720-0451 Get Directions Write a Review

NPPES record last updated: October 26, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 26, 2026, Jul 30, 2024, Jul 14, 2021 (3 updates tracked since 2021).

About Roxana Michelle Dietrich Pa NPPES

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

ROXANA MICHELLE DIETRICH PA (NPI 1215509617) is an individual physician assistant in Edinburg, Texas, licensed in Texas (PA14441) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1215509617
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameROXANA MICHELLE DIETRICHCredential: PA
Location Address303 CONQUESTEdinburg, TX 78539-3040
Mailing Address5005 W Sycamore AveMcallen, TX 78501-5433 · (956) 862-1662
Phone(956) 720-0450
Fax(956) 720-0451
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 14, 2021
Last NPPES UpdateOctober 26, 20263 updates tracked since enumeration
NPPES CertifiedOctober 26, 2026
✔ NPI 1215509617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in TX · PA14441
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
303 CONQUEST, Edinburg, TX 78539
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Roxana Michelle Dietrich Pa 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 ID6103213384
PECOS Enrollment IDI20220419001479
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 78539 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.88/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.3
Improvement Activities40
Cost98.04

Other Providers at the Same Location NPPES 2

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

SYLVIA VARGAS FNP-BC
Nurse Practitioner (Family)
303 CONQUEST
EDINBURG, TX 78539
Hidalgo County (956) 381-5817
MARLEN TREVINO FNP-C
Nurse Practitioner (Family)
303 CONQUEST
EDINBURG, TX 78539
Hidalgo County (956) 720-0450

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 Roxana Dietrich's NPI number?

The NPI number for Roxana Dietrich is 1215509617. It was assigned to this individual provider in the NPPES registry on July 14, 2021.

Where is Roxana Dietrich located?

Roxana Dietrich practices at 303 Conquest, Edinburg, TX 78539. The listed phone number is (956) 720-0450.

What is Roxana Dietrich's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Roxana Dietrich enrolled in Medicare?

Yes. Roxana Dietrich 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.

What insurance does Roxana Dietrich accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Roxana Dietrich 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 Roxana Dietrich was last updated on October 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days 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.