JESIKA DIETSCH APRN
NPI 1346847662
Nurse Practitioner - Family in Miami, FL

Active since October 08, 2020Opted out of Medicare · through May 10, 2028
11760 SW 40TH ST STE 518, MIAMI, FL 33175(305) 553-2888 Get Directions Write a Review

NPPES record last updated: July 29, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 8, 2021, Oct 8, 2020 (2 updates tracked since 2020).

About Jesika Dietsch Aprn NPPES

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

JESIKA DIETSCH APRN (NPI 1346847662) is an individual family provider in Miami, Florida, licensed in Florida (APRN11009399) and active in the NPI registry since October 2020. She has opted out of Medicare through May 10, 2028.

NPPES Registry Identity

NPI1346847662
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJESIKA DIETSCHCredential: APRN
Location Address11760 SW 40TH ST STE 518Miami, FL 33175-8100
Mailing Address11760 Sw 40th St Ste 518Miami, FL 33175-8100 · (305) 553-2888
Sole ProprietorYes
Enumeration DateOctober 8, 2020
Last NPPES UpdateJuly 29, 20252 updates tracked since enumeration
NPPES CertifiedJuly 29, 2025
NPI 1346847662 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 FL · APRN11009399
11760 SW 40TH ST STE 518, Miami, FL 33175

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Jesika Dietsch Aprn has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 10, 2024 through May 10, 2028.

Opt-Out Effective DateMay 10, 2024
Opt-Out In Effect ThroughMay 10, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 3

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

Advanced Practice Midwife
11760 SW 40TH ST STE 518
MIAMI, FL 33175
Nurse Practitioner (Family)
11760 SW 40TH ST STE 518
MIAMI, FL 33175
Nurse Practitioner (Family)
11760 SW 40TH ST STE 518
MIAMI, FL 33175

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 Jesika Dietsch's NPI number?

The NPI number for Jesika Dietsch is 1346847662. It was assigned to this individual provider in the NPPES registry on October 8, 2020.

Where is Jesika Dietsch located?

Jesika Dietsch practices at 11760 SW 40th St Ste 518, Miami, FL 33175. The listed phone number is (305) 553-2888.

What is Jesika Dietsch's specialty?

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

Is Jesika Dietsch enrolled in Medicare?

No. Jesika Dietsch has opted out of Medicare through May 10, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Jesika Dietsch was last updated on July 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.