MRS. MARIE MELANIE DEETJEN DNP-FNP
NPI 1639686496
Nurse Practitioner - Family in San Diego, CA

Active since January 03, 2018PECOS EnrolledAccepts Medicare Assignment
501 WASHINGTON ST, SAN DIEGO, CA 92103(619) 278-3300 Get Directions Write a Review

NPPES record last updated: January 3, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Marie Melanie Deetjen Dnp-fnp NPPES

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

MRS. MARIE MELANIE DEETJEN DNP-FNP (NPI 1639686496) is an individual family provider in San Diego, California, licensed in California (95005633) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1639686496
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. MARIE MELANIE DEETJENCredential: DNP-FNP
Location Address501 WASHINGTON STSan Diego, CA 92103-2231
Mailing Address10790 Rancho Bernardo Rd # 4s-205San Diego, CA 92127-5705 · (619) 278-3300
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJanuary 3, 2018
NPI 1639686496 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 CA · 95005633
501 WASHINGTON ST, San Diego, CA 92103

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

Mrs. Marie Melanie Deetjen Dnp-fnp 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 ID9436419728
PECOS Enrollment IDI20180206000993
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 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.
55 services48 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
49 services38 patients
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.
47 services45 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92103 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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.

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
13 suppliers26 claims57 services$6.05 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers13 claims13 services$1.09 avg. paid by Medicare
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
1 supplier12 claims2,400 services$6.13 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
3 suppliers11 claims11 services$28.24 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
3 suppliers19 claims66 services$13.89 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
3 suppliers13 claims13 services$40.26 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Hospitalist
501 WASHINGTON ST
SAN DIEGO, CA 92103
Physician Assistant
501 WASHINGTON ST
SAN DIEGO, CA 92103
Radiology (Diagnostic Radiology)
501 WASHINGTON ST, STE 510
SAN DIEGO, CA 92103
Pediatrics
501 WASHINGTON ST, SUITE 600
SAN DIEGO, CA 92103
Pediatrics
501 WASHINGTON ST, SUITE 600
SAN DIEGO, CA 92103
Internal Medicine (Cardiovascular Disease)
501 WASHINGTON ST, SUITE 512
SAN DIEGO, CA 92103
Internal Medicine (Gastroenterology)
501 WASHINGTON ST, SUITE 508
SAN DIEGO, CA 92103
Nurse Practitioner (Family)
501 WASHINGTON ST
SAN DIEGO, CA 92103

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 Marie Deetjen's NPI number?

The NPI number for Marie Deetjen is 1639686496. It was assigned to this individual provider in the NPPES registry on January 3, 2018.

Where is Marie Deetjen located?

Marie Deetjen practices at 501 Washington St, San Diego, CA 92103. The listed phone number is (619) 278-3300.

What is Marie Deetjen's specialty?

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

Is Marie Deetjen enrolled in Medicare?

Yes. Marie Deetjen 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.

When was this NPI record last updated?

The NPPES record for Marie Deetjen was last updated on January 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.