JAY MARTIN DIETRICH APN, NP-C
NPI 1225629447
Nurse Practitioner - Family in Normal, IL
About Jay Martin Dietrich Apn, Np-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JAY MARTIN DIETRICH APN, NP-C (NPI 1225629447) is an individual family provider in Normal, Illinois, licensed in Illinois (209021931) and active in the NPI registry since January 2021. He is enrolled in Medicare PECOS, is affiliated with St Joseph Medical Center, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses 2
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
Jay Martin Dietrich Apn, Np-c 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.
Areas of Expertise CMS Part B claims 6
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Joseph Medical Center
Acute Care Hospitals · Bloomington, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 61761 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jay Dietrich's NPI number?
The NPI number for Jay Dietrich is 1225629447. It was assigned to this individual provider in the NPPES registry on January 30, 2021.
Where is Jay Dietrich located?
Jay Dietrich practices at 2200 Fort Jesse Rd Ste 110, Normal, IL 61761. The listed phone number is (309) 661-6290.
What is Jay Dietrich's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jay Dietrich enrolled in Medicare?
Yes. Jay 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.
Is Jay Dietrich affiliated with any hospitals?
According to CMS data, Jay Dietrich is affiliated with St Joseph Medical Center.
When was this NPI record last updated?
The NPPES record for Jay Dietrich was last updated on May 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.