BROOKE DIETZ
NPI 1255284378
Nurse Practitioner in Pottsville, PA

Active since February 18, 2026PECOS Enrolled
529 TERRY REILEY WAY, POTTSVILLE, PA 17901(570) 624-4444(570) 624-4445 Get Directions Write a Review

NPPES record last updated: May 15, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Brooke Dietz NPPES

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

BROOKE DIETZ (NPI 1255284378) is an individual nurse practitioner in Pottsville, Pennsylvania, licensed in Pennsylvania (SP035221) and active in the NPI registry since February 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1255284378
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameBROOKE DIETZ
Location Address529 TERRY REILEY WAYPottsville, PA 17901-1774
Mailing Address100 N Academy AveDanville, PA 17822-9800 · (570) 624-4444 · Fax (570) 624-4445
Fax(570) 624-4445
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateFebruary 18, 2026
Last NPPES UpdateMay 15, 2026
NPPES CertifiedMay 15, 2026
NPI 1255284378 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in PA · SP035221
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
529 TERRY REILEY WAY, Pottsville, PA 17901

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Brooke Dietz is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID648749010
PECOS Enrollment IDI20260514002784
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 17901 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
Most-billed visit code 99214
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.

Pharmacist
529 TERRY REILEY WAY
POTTSVILLE, PA 17901
Family Medicine
529 TERRY REILEY WAY
POTTSVILLE, PA 17901
Pediatrics
529 TERRY REILEY WAY
POTTSVILLE, PA 17901
Counselor (Professional)
529 TERRY REILEY WAY
POTTSVILLE, PA 17901
Nurse Practitioner
529 TERRY REILEY WAY
POTTSVILLE, PA 17901
Family Medicine
529 TERRY REILEY WAY
POTTSVILLE, PA 17901
Pharmacy (Community/Retail Pharmacy)
529 TERRY REILEY WAY
POTTSVILLE, PA 17901
Family Medicine
529 TERRY REILEY WAY
POTTSVILLE, PA 17901

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 Brooke Dietz's NPI number?

The NPI number for Brooke Dietz is 1255284378. It was assigned to this individual provider in the NPPES registry on February 18, 2026.

Where is Brooke Dietz located?

Brooke Dietz practices at 529 Terry Reiley Way, Pottsville, PA 17901. The listed phone number is (570) 624-4444.

What is Brooke Dietz's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Brooke Dietz enrolled in Medicare?

Yes. Brooke Dietz is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Brooke Dietz was last updated on May 15, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.