STACY MELISSA DIETZGEN M.D.
NPI 1487920575
Internal Medicine - Cardiovascular Disease in Seattle, WA

Active since March 22, 2012
93.09/100
CMS Quality Rating
1959 NE PACIFIC ST, SEATTLE, WA 98195(206) 598-4333 Get Directions Write a Review

NPPES record last updated: December 15, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 15, 2022, Nov 2, 2016 (2 updates tracked since 2016).

About Stacy Melissa Dietzgen M.d. NPPES

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

STACY MELISSA DIETZGEN M.D. (NPI 1487920575) is an individual cardiovascular disease provider in Seattle, Washington, licensed in Washington (MD60492901) and active in the NPI registry since March 2012.

NPPES Registry Identity

NPI1487920575
Entity TypeIndividualFemale
Primary Taxonomy207RC0000X
Provider Legal NameSTACY MELISSA DIETZGENCredential: M.D.
Location Address1959 NE PACIFIC STSeattle, WA 98195-0001
Mailing AddressPo Box 50095Seattle, WA 98145-5095 · (206) 543-6420
Sole ProprietorNo
Enumeration DateMarch 22, 2012
Last NPPES UpdateDecember 15, 20222 updates tracked since enumeration
NPPES CertifiedDecember 15, 2022
NPI 1487920575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in WA · MD60492901
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal MedicineTaxonomy 207R00000X · License MD60492901 (WA)
1959 NE PACIFIC ST, Seattle, WA 98195

Other Names 1

Professional Name (2)Stacy Valkenaar

Other Identifiers 1

Medicaid1487920575WA

Accepted Insurance

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.95
Promoting Interoperability100
Improvement Activities40

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.

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1959 NE PACIFIC ST
SEATTLE, WA 98195
Obstetrics & Gynecology (Maternal & Fetal Medicine)
1959 NE PACIFIC ST, 3RD FLOOR SW 350
SEATTLE, WA 98195
Occupational Therapist
1959 NE PACIFIC ST, MAILBOX 356490
SEATTLE, WA 98195
Ophthalmology
1959 NE PACIFIC ST, BOX 365485
SEATTLE, WA 98195
Anesthesiology
1959 NE PACIFIC ST
SEATTLE, WA 98195
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1959 NE PACIFIC ST, BOX 356015
SEATTLE, WA 98195
Pathology (Anatomic Pathology & Clinical Pathology)
1959 NE PACIFIC ST, BOX 356100
SEATTLE, WA 98195
Hospitalist
1959 NE PACIFIC ST
SEATTLE, WA 98195

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 Stacy Dietzgen's NPI number?

The NPI number for Stacy Dietzgen is 1487920575. It was assigned to this individual provider in the NPPES registry on March 22, 2012. The provider is also known as Stacy Valkenaar.

Where is Stacy Dietzgen located?

Stacy Dietzgen practices at 1959 NE Pacific St, Seattle, WA 98195. The listed phone number is (206) 598-4333.

What is Stacy Dietzgen's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

What insurance does Stacy Dietzgen accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Stacy Dietzgen 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 Stacy Dietzgen was last updated on December 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.