TRACY JO IRONS-DIETERLE NP-C
NPI 1386910479
Nurse Practitioner - Family in Apple Valley, MN

Active since March 22, 2012PECOS EnrolledAccepts Medicare Assignment
15290 PENNOCK LN, APPLE VALLEY, MN 55124(952) 853-8800 Get Directions Write a Review

NPPES record last updated: March 1, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tracy Jo Irons-dieterle Np-c NPPES

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

TRACY JO IRONS-DIETERLE NP-C (NPI 1386910479) is an individual family provider in Apple Valley, Minnesota, licensed in Minnesota (R 136630-3) and active in the NPI registry since March 2012. She is enrolled in Medicare PECOS, is affiliated with Northfield Hospital, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1386910479
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTRACY JO IRONS-DIETERLECredential: NP-C
Location Address15290 PENNOCK LNApple Valley, MN 55124-7163
Mailing Address15290 Pennock LnApple Valley, MN 55124-7163 · (952) 652-3443
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateMarch 22, 2012
Last NPPES UpdateMarch 1, 2017
NPI 1386910479 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 MN · R 136630-3
15290 PENNOCK LN, Apple Valley, MN 55124

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

Tracy Jo Irons-dieterle Np-c 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 ID4183888563
PECOS Enrollment IDI20120614000754
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

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.
21 services21 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northfield Hospital

Acute Care Hospitals · Northfield, MN
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number240014
Location2000 North AvenueNorthfield, MN 55057 · Rice County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55124 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

Emergency Medicine
15290 PENNOCK LN
APPLE VALLEY, MN 55124
Family Medicine
15290 PENNOCK LN
APPLE VALLEY, MN 55124
Family Medicine
15290 PENNOCK LN
APPLE VALLEY, MN 55124
Family Medicine
15290 PENNOCK LN
APPLE VALLEY, MN 55124
Nurse Practitioner
15290 PENNOCK LN, MAIL STOP 32200A
APPLE VALLEY, MN 55124
Pediatrics
15290 PENNOCK LN
APPLE VALLEY, MN 55124
Family Medicine
15290 PENNOCK LN
APPLE VALLEY, MN 55124
Emergency Medicine
15290 PENNOCK LN
APPLE VALLEY, MN 55124

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 Tracy Irons-dieterle's NPI number?

The NPI number for Tracy Irons-dieterle is 1386910479. It was assigned to this individual provider in the NPPES registry on March 22, 2012.

Where is Tracy Irons-dieterle located?

Tracy Irons-dieterle practices at 15290 Pennock Ln, Apple Valley, MN 55124. The listed phone number is (952) 853-8800.

What is Tracy Irons-dieterle's specialty?

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

Is Tracy Irons-dieterle enrolled in Medicare?

Yes. Tracy Irons-dieterle 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 Tracy Irons-dieterle accept?

Health plans from HealthPartners and Medica list Tracy Irons-dieterle 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.

Is Tracy Irons-dieterle affiliated with any hospitals?

According to CMS data, Tracy Irons-dieterle is affiliated with Northfield Hospital.

When was this NPI record last updated?

The NPPES record for Tracy Irons-dieterle was last updated on March 1, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.