KAREN MARIE DITCHEY CNP
NPI 1497423073
Nurse Practitioner - Adult Health in Youngstown, OH

Active since August 31, 2021PECOS EnrolledAccepts Medicare Assignment
527 N MERIDIAN RD, YOUNGSTOWN, OH 44509(330) 797-0070(330) 797-9146 Get Directions Write a Review

NPPES record last updated: June 21, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 21, 2023, Dec 3, 2021, Nov 22, 2021 (3 updates tracked since 2021).

About Karen Marie Ditchey Cnp NPPES

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

KAREN MARIE DITCHEY CNP (NPI 1497423073) is an individual adult health provider in Youngstown, Ohio, licensed in Ohio (APRN.CNP.0029218) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1497423073
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameKAREN MARIE DITCHEYCredential: CNP
Location Address527 N MERIDIAN RDYoungstown, OH 44509-1227
Mailing Address527 N Meridian RdYoungstown, OH 44509-1227 · (330) 797-0070 · Fax (330) 797-9146
Fax(330) 797-9146
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 31, 2021
Last NPPES UpdateJune 21, 20233 updates tracked since enumeration
NPPES CertifiedJune 21, 2023
NPI 1497423073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in OH · APRN.CNP.0029218
Also ListedNurse PractitionerTaxonomy 363L00000X · License APRN.CNP.0029218 (OH)
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License APRN.CNP.0029218 (OH)
527 N MERIDIAN RD, Youngstown, OH 44509

Secondary Practice Locations 2

Location 1320 High St NEWarren, OH 44481-1222 · Phone (330) 797-0070
Location 2550 W Chalmers AveYoungstown, OH 44511-1576 · Phone (330) 797-0070 · Fax (330) 797-9146

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

Karen Marie Ditchey Cnp 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 ID7315344827
PECOS Enrollment IDI20210927001802, I20240229002219, I20241118001243
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 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.
30 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44509 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Counselor (Professional)
527 N MERIDIAN RD
YOUNGSTOWN, OH 44509
Community/Behavioral Health
527 N MERIDIAN RD
YOUNGSTOWN, OH 44509
Counselor (Professional)
527 N MERIDIAN RD
YOUNGSTOWN, OH 44509
Licensed Practical Nurse
527 N MERIDIAN RD
YOUNGSTOWN, OH 44509
Counselor (Professional)
527 N MERIDIAN RD
YOUNGSTOWN, OH 44509
Registered Nurse
527 N MERIDIAN RD
YOUNGSTOWN, OH 44509
Social Worker
527 N MERIDIAN RD
YOUNGSTOWN, OH 44509
Licensed Practical Nurse
527 N MERIDIAN RD
YOUNGSTOWN, OH 44509

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 Karen Ditchey's NPI number?

The NPI number for Karen Ditchey is 1497423073. It was assigned to this individual provider in the NPPES registry on August 31, 2021.

Where is Karen Ditchey located?

Karen Ditchey practices at 527 N Meridian Rd, Youngstown, OH 44509. The listed phone number is (330) 797-0070.

What is Karen Ditchey's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Karen Ditchey enrolled in Medicare?

Yes. Karen Ditchey 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 Karen Ditchey accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Blue Cross and Blue Shield of NC and 7 other insurers list Karen Ditchey 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 Karen Ditchey was last updated on June 21, 2023. 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.