BRETT ANDREW DIETZMAN FNP
NPI 1255561825
Nurse Practitioner - Family in Johnson City, NY

Q: What is Brett Dietzman's NPI number?

The NPI number for Brett Dietzman is 1255561825. It was assigned to this individual provider in the NPPES registry on July 17, 2009.

Q: What is Brett Dietzman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Brett Dietzman was last updated on November 23, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.

Active since July 17, 2009PECOS Enrolled

33-57 HARRISON ST, JOHNSON CITY, NY 13790(607) 763-6412(607) 763-5854 Get Directions Write a Review

NPPES record last updated: November 23, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Brett Andrew Dietzman Fnp NPPES

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

BRETT ANDREW DIETZMAN FNP (NPI 1255561825) is an individual family provider in Johnson City, New York, licensed in New York (335990) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255561825

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameBRETT ANDREW DIETZMANCredential: FNP

Location Address33-57 HARRISON STJohnson City, NY 13790-2107

Mailing Address346 Grand AveJohnson City, NY 13790-2580 · (607) 729-8156 · Fax (607) 729-2209

Phone(607) 763-6412

Fax(607) 763-5854

Sole ProprietorNo

Enumeration DateJuly 17, 2009

Last NPPES UpdateNovember 23, 2011

✔ NPI 1255561825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NY · 335990

33-57 HARRISON ST, Johnson City, NY 13790

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brett Andrew Dietzman Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 13790 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

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.

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