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TRENTEN JAMES DIPPOLD PA
NPI 1700618790
Physician Assistant in Phoenix, AZ

Active since August 17, 2024PECOS EnrolledAccepts Medicare Assignment
1300 N 12TH ST STE 500, PHOENIX, AZ 85006(602) 839-4567 Get Directions Write a Review

NPPES record last updated: January 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 8, 2025, Sep 23, 2024, Aug 17, 2024 (3 updates tracked since 2024).

About Trenten James Dippold Pa NPPES

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

TRENTEN JAMES DIPPOLD PA (NPI 1700618790) is an individual physician assistant in Phoenix, Arizona, licensed in Arizona (10657) and active in the NPI registry since August 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1700618790
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameTRENTEN JAMES DIPPOLDCredential: PA
Location Address1300 N 12TH ST STE 500Phoenix, AZ 85006-2849
Mailing Address555 N College Ave Apt 4047Tempe, AZ 85288-0222 · (814) 706-5074
Phone(602) 839-4567
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 17, 2024
Last NPPES UpdateJanuary 8, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 8, 2025
✔ NPI 1700618790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in AZ · 10657
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1300 N 12TH ST STE 500, Phoenix, AZ 85006
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, UnitedHealthcare.Insurance ›

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

Trenten James Dippold Pa 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 ID4385175850
PECOS Enrollment IDI20241008002883
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 85006 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
Most-billed visit code 99213
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 2

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

B--UMCP PHYSICIAN SPECIALISTS LLC
Clinic/Center (Multi-Specialty)
1300 N 12TH ST STE 500
PHOENIX, AZ 85006
Maricopa County (602) 839-4915
SHARI PRESSLEY MD
Family Medicine
1300 N 12TH ST STE 500
PHOENIX, AZ 85006
Maricopa County (602) 839-4567

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 Trenten Dippold's NPI number?

The NPI number for Trenten Dippold is 1700618790. It was assigned to this individual provider in the NPPES registry on August 17, 2024.

Where is Trenten Dippold located?

Trenten Dippold practices at 1300 N 12th St Ste 500, Phoenix, AZ 85006. The listed phone number is (602) 839-4567.

What is Trenten Dippold's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Trenten Dippold enrolled in Medicare?

Yes. Trenten Dippold 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.

What insurance does Trenten Dippold accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona and UnitedHealthcare list Trenten Dippold as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Trenten Dippold was last updated on January 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.