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AMY M DIMITRIADES NP-C
NPI 1396065694
Nurse Practitioner - Family in Gulfport, MS

Active since June 09, 2010PECOS EnrolledAccepts Medicare Assignment
4540 W RAILROAD ST, GULFPORT, MS 39501(228) 867-6062(228) 867-2598 Get Directions Write a Review

NPPES record last updated: July 10, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Amy M Dimitriades Np-c NPPES

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

AMY M DIMITRIADES NP-C (NPI 1396065694) is an individual family provider in Gulfport, Mississippi, licensed in Mississippi (R859046) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1396065694
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameAMY M DIMITRIADESCredential: NP-C
Location Address4540 W RAILROAD STGulfport, MS 39501-2480
Mailing AddressPo Box 1810Gulfport, MS 39502-1810 · (228) 865-1330 · Fax (228) 865-1331
Phone(228) 867-6062
Fax(228) 867-2598
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJune 9, 2010
Last NPPES UpdateJuly 10, 2014
✔ NPI 1396065694 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 MS · R859046
4540 W RAILROAD ST, Gulfport, MS 39501
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, Molina Healthcare, UnitedHealthcare.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

Amy M Dimitriades 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 ID4789855388
PECOS Enrollment IDI20110912000118
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39501 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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 8

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

ASHLEY BARQ HOUSE FNP-C
Nurse Practitioner (Family)
4540 W RAILROAD ST
GULFPORT, MS 39501
Harrison County (228) 867-6062
GULF COAST ENDOCRINOLOGY
Internal Medicine (Endocrinology, Diabetes & Metabolism)
4540 W RAILROAD ST
GULFPORT, MS 39501
Harrison County (228) 867-6062
DR. MARK D BORCHELT MD, FACE
Internal Medicine (Endocrinology, Diabetes & Metabolism)
4540 W RAILROAD ST
GULFPORT, MS 39501
Harrison County (228) 867-6062
MEMORIAL HOSPITAL AT GULFPORT
Internal Medicine (Rheumatology)
4540 W RAILROAD ST, SUITE B
GULFPORT, MS 39501
Harrison County (228) 867-4856
DR. BEVERLY LANSDEN M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
4540 W RAILROAD ST
GULFPORT, MS 39501
Harrison County (228) 867-6062
MISS CATHY YOUNG KIM NP
Nurse Practitioner (Adult Health)
4540 W RAILROAD ST
GULFPORT, MS 39501
Harrison County (228) 867-4000
MEMORIAL HOSPITAL AT GULFPORT
Internal Medicine (Endocrinology, Diabetes & Metabolism)
4540 W RAILROAD ST, SUITE A
GULFPORT, MS 39501
Harrison County (228) 867-2598
TRACI EVANS NP-C
Nurse Practitioner (Adult Health)
4540 W RAILROAD ST
GULFPORT, MS 39501
Harrison County (228) 867-6062

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 Dimitriades's NPI number?

The NPI number for Amy Dimitriades is 1396065694. It was assigned to this individual provider in the NPPES registry on June 9, 2010.

Where is Amy Dimitriades located?

Amy Dimitriades practices at 4540 W Railroad St, Gulfport, MS 39501. The listed phone number is (228) 867-6062.

What is Amy Dimitriades's specialty?

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

Is Amy Dimitriades enrolled in Medicare?

Yes. Amy Dimitriades 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 Dimitriades accept?

Health plans from Blue Cross and Blue Shield of Alabama, Molina Healthcare and UnitedHealthcare list Amy Dimitriades 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 Dimitriades was last updated on July 10, 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.