CHERYL ANNE DIETLY
NPI 1649758756
Nurse Practitioner - Psychiatric/Mental Health in Ponte Vedra Beach, FL

Active since July 31, 2018PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
400 COLONNADE DR STE 230, PONTE VEDRA BEACH, FL 32081(904) 376-3800 Get Directions Write a Review

NPPES record last updated: May 13, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 13, 2022, Jan 11, 2022, Jun 10, 2021 and 3 more (6 updates tracked since 2018).

About Cheryl Anne Dietly NPPES

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

CHERYL ANNE DIETLY (NPI 1649758756) is an individual psychiatric/mental health provider in Ponte Vedra Beach, Florida, licensed in Florida (ARNP9337309) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Medical Center - Jacksonville, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1649758756
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameCHERYL ANNE DIETLY
Location Address400 COLONNADE DR STE 230Ponte Vedra Beach, FL 32081-6236
Mailing AddressPo Box 748519Atlanta, GA 30374-8519 · (904) 376-3800 · Fax (904) 376-3998
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJuly 31, 2018
Last NPPES UpdateMay 13, 20226 updates tracked since enumeration
NPPES CertifiedMay 13, 2022
NPI 1649758756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in FL · ARNP9337309
400 COLONNADE DR STE 230, Ponte Vedra Beach, FL 32081

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

Cheryl Anne Dietly 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 ID9436494507
PECOS Enrollment IDI20181218000778
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 2

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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.
467 services123 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
72 services72 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baptist Health Medical Center - Jacksonville

Acute Care Hospitals · Jacksonville, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100088
Location800 Prudential DrJacksonville, FL 32207 · Duval County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32081 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
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.

Internal Medicine (Cardiovascular Disease)
400 COLONNADE DR STE 230
PONTE VEDRA, FL 32081
Counselor (Mental Health)
400 COLONNADE DR STE 230
PONTE VEDRA BEACH, FL 32081
Psychologist (Clinical)
400 COLONNADE DR STE 230
PONTE VEDRA BEACH, FL 32081
Nurse Practitioner (Psychiatric/Mental Health)
400 COLONNADE DR STE 230
PONTE VEDRA BEACH, FL 32081
Nurse Practitioner (Psychiatric/Mental Health)
400 COLONNADE DR STE 230
PONTE VEDRA BEACH, FL 32081
Nurse Practitioner (Family)
400 COLONNADE DR STE 230
PONTE VEDRA, FL 32081
Internal Medicine (Gastroenterology)
400 COLONNADE DR STE 230
PONTE VEDRA, FL 32081
Obstetrics & Gynecology
400 COLONNADE DR STE 230
PONTE VEDRA, FL 32081

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1649758756, enumerated as an "individual" on July 31, 2018.

The provider is located at 400 COLONNADE DR STE 230 PONTE VEDRA BEACH, FL 32081 and the phone number is (904) 376-3800.

Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.

Cheryl Dietly is affiliated with: BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE.