ELIZABETH ANN DIECKMANN PMHNP
NPI 1336927300
Nurse Practitioner - Psychiatric/Mental Health in Indianapolis, IN

Q: What is Elizabeth Dieckmann's NPI number?

The NPI number for Elizabeth Dieckmann is 1336927300. It was assigned to this individual provider in the NPPES registry on September 20, 2023.

Q: What is Elizabeth Dieckmann's specialty?

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

Active since September 20, 2023PECOS Enrolled

5230 E STOP 11 RD STE 300, INDIANAPOLIS, IN 46237(317) 961-5173(317) 961-5183 Get Directions Write a Review

NPPES record last updated: September 20, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Elizabeth Ann Dieckmann Pmhnp NPPES

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

ELIZABETH ANN DIECKMANN PMHNP (NPI 1336927300) is an individual psychiatric/mental health provider in Indianapolis, Indiana, licensed in Indiana (71074368A) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336927300

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameELIZABETH ANN DIECKMANNCredential: PMHNP

Location Address5230 E STOP 11 RD STE 300Indianapolis, IN 46237-6401

Mailing AddressPo Box 39314Indianapolis, IN 46239-0314

Phone(317) 961-5173

Fax(317) 961-5183

Sole ProprietorNo

Enumeration DateSeptember 20, 2023

NPPES CertifiedAugust 29, 2023

✔ NPI 1336927300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in IN · 71074368A

Also ListedRegistered NurseTaxonomy 163W00000X · License 28159275A (IN)

5230 E STOP 11 RD STE 300, Indianapolis, IN 46237

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elizabeth Ann Dieckmann Pmhnp 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.

Medicare Billing Reassignment

Medicare enrollment records show Elizabeth Dieckmann reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Meridian Health Services Corp.

Same address

Federally Qualified Health Center (FQHC)

5230 E STOP 11 RD STE 300
Indianapolis, IN 46237

Reassigned Medicare billing, Indiana enrollment
322 clinicians in this Medicare group

NPI 1972288736 (765) 288-1928

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46237 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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 14

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

LAURA PAGE

Social Worker (Clinical)