MS. AMY C. DITTLER PMHNP-BC
NPI 1366761009
Nurse Practitioner - Psychiatric/Mental Health in Patchogue, NY

Active since May 20, 2010PECOS EnrolledAccepts Medicare Assignment
450 WAVERLY AVE, STE 11, PATCHOGUE, NY 11772(917) 385-9195 Get Directions Write a Review

NPPES record last updated: March 25, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 25, 2020, Feb 2, 2017, Jun 24, 2016 (3 updates tracked since 2016).

About Ms. Amy C. Dittler Pmhnp-bc NPPES

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

MS. AMY C. DITTLER PMHNP-BC (NPI 1366761009) is an individual psychiatric/mental health provider in Patchogue, New York, licensed in New York (F402005) and active in the NPI registry since May 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1366761009
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMS. AMY C. DITTLERCredential: PMHNP-BC
Location Address450 WAVERLY AVE, STE 11Patchogue, NY 11772-1555
Mailing Address282 Auborn AveShirley, NY 11967-1734 · (917) 385-9195
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMay 20, 2010
Last NPPES UpdateMarch 25, 20203 updates tracked since enumeration
NPPES CertifiedMarch 25, 2020
NPI 1366761009 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 NY · F402005
Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License 639551 (NY)
450 WAVERLY AVE, Patchogue, NY 11772

Other Names 1

Former Name (1)Ms. Amy C. Macchia

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ms. Amy C. Dittler Pmhnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5092099895
PECOS Enrollment IDI20170222001792
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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
110 services24 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
99 services22 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
75 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11772 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

Family Medicine
450 WAVERLY AVE
PATCHOGUE, NY 11772
Dentist
450 WAVERLY AVE, SUITE #06
PATCHOGUE, NY 11772
Counselor (Mental Health)
450 WAVERLY AVE, BLDG. 3, SUITE 11
PATCHOGUE, NY 11772
Dentist
450 WAVERLY AVE, SUITE #06
PATCHOGUE, NY 11772
Massage Therapist
450 WAVERLY AVE
PATCHOGUE, NY 11772
Pediatrics
450 WAVERLY AVE
PATCHOGUE, NY 11772
Chiropractor
450 WAVERLY AVE, SUITE 9
PATCHOGUE, NY 11772
Pediatrics
450 WAVERLY AVE
PATCHOGUE, NY 11772

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 Amy Dittler's NPI number?

The NPI number for Amy Dittler is 1366761009. It was assigned to this individual provider in the NPPES registry on May 20, 2010. The provider is also known as Ms. Amy C. Macchia.

Where is Amy Dittler located?

Amy Dittler practices at 450 Waverly Ave Ste 11, Patchogue, NY 11772. The listed phone number is (917) 385-9195.

What is Amy Dittler's specialty?

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

Is Amy Dittler enrolled in Medicare?

Yes. Amy Dittler is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Amy Dittler accept?

Health plans from Providence Health Plan list Amy Dittler as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Amy Dittler was last updated on March 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.