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DIANE DETTMORE
NPI 1285045757
Nurse Practitioner - Psychiatric/Mental Health in Wayne, NJ

Active since May 18, 2014PECOS Enrolled
1340 HAMBURG TPKE, WAYNE, NJ 07470(973) 633-1996 Get Directions Write a Review

NPPES record last updated: May 18, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Diane Dettmore NPPES

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

DIANE DETTMORE (NPI 1285045757) is an individual psychiatric/mental health provider in Wayne, New Jersey, licensed in New Jersey (26NJ00456900) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285045757
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameDIANE DETTMORE
Location Address1340 HAMBURG TPKEWayne, NJ 07470-4003
Mailing Address57 Montross AveRutherford, NJ 07070-1147 · (551) 206-9812
Phone(973) 633-1996
Sole ProprietorNo
Enumeration DateMay 18, 2014
✔ NPI 1285045757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NJ · 26NJ00456900
1340 HAMBURG TPKE, Wayne, NJ 07470
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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)

Diane Dettmore 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.

Areas of Expertise CMS Part B claims 3

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.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
150 services15 patients
Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
70 services11 patients
Psychotherapy, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
21 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07470 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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

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

SARAH ROMEO
Social Worker (Clinical)
1340 HAMBURG TPKE
WAYNE, NJ 07470
Passaic County (973) 633-1996

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 Diane Dettmore's NPI number?

The NPI number for Diane Dettmore is 1285045757. It was assigned to this individual provider in the NPPES registry on May 18, 2014.

Where is Diane Dettmore located?

Diane Dettmore practices at 1340 Hamburg Tpke, Wayne, NJ 07470. The listed phone number is (973) 633-1996.

What is Diane Dettmore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Diane Dettmore enrolled in Medicare?

Yes. Diane Dettmore is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Diane Dettmore was last updated on May 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.