JESSICA JACKSON DIETTER DO
NPI 1649634189
Pediatrics in Virginia Beach, VA

Q: What is Jessica Dietter's NPI number?

The NPI number for Jessica Dietter is 1649634189. It was assigned to this individual provider in the NPPES registry on April 11, 2016.

Q: What is Jessica Dietter's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Dietter was last updated on November 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.

Active since April 11, 2016PECOS Enrolled

1800 CAMELOT DR STE 200, VIRGINIA BEACH, VA 23454(757) 252-9600(757) 351-2905 Get Directions Write a Review

NPPES record last updated: November 20, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 20, 2024, Aug 19, 2020 (2 updates tracked since 2020).

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About Jessica Jackson Dietter Do NPPES

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

JESSICA JACKSON DIETTER DO (NPI 1649634189) is an individual pediatrics provider in Virginia Beach, Virginia, licensed in Virginia (0102205711) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649634189

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameJESSICA JACKSON DIETTERCredential: DO

Location Address1800 CAMELOT DR STE 200Virginia Beach, VA 23454-2440

Mailing Address1800 Camelot Dr Ste 200Virginia Beach, VA 23454-2440 · (757) 252-9600 · Fax (757) 351-2905

Phone(757) 252-9600

Fax(757) 351-2905

Sole ProprietorNo

Enumeration DateApril 11, 2016

Last NPPES UpdateNovember 20, 20242 updates tracked since enumeration

NPPES CertifiedNovember 20, 2024

✔ NPI 1649634189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in VA · 0102205711

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1800 CAMELOT DR STE 200, Virginia Beach, VA 23454

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Jackson Dietter Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 23454 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

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

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 4

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

CHERYL L PRICE PA-C

Physician Assistant

1800 CAMELOT DR STE 200
VIRGINIA BEACH, VA 23454

Virginia Beach City (757) 491-7337

DR. JENNIE HURWITZ TABAKIN M.D.

Pediatrics

1800 CAMELOT DR STE 200
VIRGINIA BEACH, VA 23454

Virginia Beach City (757) 252-9600

DR. HYEON D CHOI M.D.

Pediatrics

1800 CAMELOT DR STE 200
VIRGINIA BEACH, VA 23454

Virginia Beach City (757) 252-9600

JEREMY PETER SIEGRIST M.D.

Pediatrics

1800 CAMELOT DR STE 200
VIRGINIA BEACH, VA 23454

Virginia Beach City (757) 252-9600

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 Jessica Dietter's NPI number?

The NPI number for Jessica Dietter is 1649634189. It was assigned to this individual provider in the NPPES registry on April 11, 2016.

Where is Jessica Dietter located?

Jessica Dietter practices at 1800 Camelot Dr Ste 200, Virginia Beach, VA 23454. The listed phone number is (757) 252-9600.

What is Jessica Dietter's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Jessica Dietter enrolled in Medicare?

Yes. Jessica Dietter is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jessica Dietter was last updated on November 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.