ETHEL DEITZ CNP
NPI 1649088865
Nurse Practitioner - Family in Cobleskill, NY
About Ethel Deitz Cnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ETHEL DEITZ CNP (NPI 1649088865) is an individual family provider in Cobleskill, New York, licensed in New York (357908) and active in the NPI registry since December 2024. She is enrolled in Medicare PECOS, is affiliated with Cobleskill Regional Hospital, and maintains a secondary practice location in Monroeville.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Ethel Deitz 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Cobleskill Regional Hospital
Critical Access Hospitals · Cobleskill, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 12043 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Ethel Deitz's NPI number?
The NPI number for Ethel Deitz is 1649088865. It was assigned to this individual provider in the NPPES registry on December 19, 2024.
Where is Ethel Deitz located?
Ethel Deitz practices at 136 Pkwy Dr, Cobleskill, NY 12043. The listed phone number is (518) 234-2555.
What is Ethel Deitz's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Ethel Deitz enrolled in Medicare?
Yes. Ethel Deitz 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.
Is Ethel Deitz affiliated with any hospitals?
According to CMS data, Ethel Deitz is affiliated with Cobleskill Regional Hospital.
When was this NPI record last updated?
The NPPES record for Ethel Deitz was last updated on November 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.
# Ethel Deitz, CNP · NPI 1649088865
Family physician in Cobleskill, New York. Individual provider, active in the CMS NPPES registry since December 19, 2024.
## Identity
- **NPI:** 1649088865 (Entity type: Individual)
- **Enumerated:** December 19, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 357908 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 136 PKWY DR, Cobleskill, NY 12043
- **Phone:** (518) 234-2555
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** November 25, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1649088865) · Data from the CMS NPPES public registry.