REBECCA DIETTERICH
NPI 1689457517
Nurse Practitioner - Psychiatric/Mental Health in Stroudsburg, PA

Q: What is Rebecca Dietterich's NPI number?

The NPI number for Rebecca Dietterich is 1689457517. It was assigned to this individual provider in the NPPES registry on August 15, 2023.

Q: What is Rebecca Dietterich's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since August 15, 2023PECOS EnrolledAccepts Medicare Assignment

1172 W MAIN ST # B, STROUDSBURG, PA 18360(570) 424-6187 Get Directions Write a Review

NPPES record last updated: April 24, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 24, 2024, Aug 15, 2023 (2 updates tracked since 2023).

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About Rebecca Dietterich NPPES

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

REBECCA DIETTERICH (NPI 1689457517) is an individual psychiatric/mental health provider in Stroudsburg, Pennsylvania, licensed in Pennsylvania (SP027912) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1689457517

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameREBECCA DIETTERICH

Location Address1172 W MAIN ST # BStroudsburg, PA 18360-1323

Mailing Address1172 W Main St # BStroudsburg, PA 18360-1323 · (570) 424-6187

Phone(570) 424-6187

Sole ProprietorYes

Medical School CMSOtherGraduated 2023

Enumeration DateAugust 15, 2023

Last NPPES UpdateApril 24, 20242 updates tracked since enumeration

NPPES CertifiedApril 24, 2024

✔ NPI 1689457517 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 PA · SP027912

1172 W MAIN ST # B, Stroudsburg, PA 18360

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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 and accepts Medicare assignment

Rebecca Dietterich 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 ID7214382100

PECOS Enrollment IDI20231012002026

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.

83 services33 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18360 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

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

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

COLIN KENNY CRNP-BC

Nurse Practitioner (Psychiatric/Mental Health)

1172 W MAIN ST # B
STROUDSBURG, PA 18360

Monroe County (570) 424-6187

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 Rebecca Dietterich's NPI number?

The NPI number for Rebecca Dietterich is 1689457517. It was assigned to this individual provider in the NPPES registry on August 15, 2023.

Where is Rebecca Dietterich located?

Rebecca Dietterich practices at 1172 W Main St # B, Stroudsburg, PA 18360. The listed phone number is (570) 424-6187.

What is Rebecca Dietterich's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Rebecca Dietterich enrolled in Medicare?

Yes. Rebecca Dietterich 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 Rebecca Dietterich was last updated on April 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.