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KRISTA MICHELLE DIEKEMPER RD, LD
NPI 1720741101
Dietitian, Registered in Pocatello, ID

Active since October 21, 2021
777 HOSPITAL WAY STE 201, POCATELLO, ID 83201(208) 239-2620(208) 239-3778 Get Directions Write a Review

NPPES record last updated: October 21, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Krista Michelle Diekemper Rd, Ld NPPES

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

KRISTA MICHELLE DIEKEMPER RD, LD (NPI 1720741101) is an individual dietitian, registered in Pocatello, Idaho, licensed in Idaho (D-677) and active in the NPI registry since October 2021.

NPPES Registry Identity

NPI1720741101
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameKRISTA MICHELLE DIEKEMPERCredential: RD, LD
Location Address777 HOSPITAL WAY STE 201Pocatello, ID 83201-5175
Mailing Address777 Hospital Way Ste 201Pocatello, ID 83201-5175 · (208) 239-2620
Phone(208) 239-2620
Fax(208) 239-3778
Sole ProprietorNo
Enumeration DateOctober 21, 2021
NPPES CertifiedOctober 21, 2021
✔ NPI 1720741101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in ID · D-677
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
777 HOSPITAL WAY STE 201, Pocatello, ID 83201
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Krista Michelle Diekemper Rd, Ld is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Krista Diekemper reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pocatello Health Services, LLC
Same address
General Acute Care Hospital
777 HOSPITAL WAY
Pocatello, ID 83201
  • Reassigned Medicare billing, Idaho enrollment
  • 190 clinicians in this Medicare group
NPI 1215165485 (208) 239-2065

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 7

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

MARA ADDITON M.D.
Surgery
777 HOSPITAL WAY STE 201
POCATELLO, ID 83201
Bannock County (208) 239-2620
MONICA FELICE ROBERTS FNP-C
Nurse Practitioner (Family)
777 HOSPITAL WAY STE 201
POCATELLO, ID 83201
Bannock County (208) 239-2620
DR. COLTEN BOYD DNP
Nurse Practitioner (Family)
777 HOSPITAL WAY STE 201
POCATELLO, ID 83201
Bannock County (208) 239-2620
ANTON PELED MD
Neurological Surgery
777 HOSPITAL WAY STE 201
POCATELLO, ID 83201
Bannock County (208) 239-2620
MRS. SARAH MALLOY PA
Physician Assistant (Surgical)
777 HOSPITAL WAY STE 201
POCATELLO, ID 83201
Bannock County (208) 239-2620
DR. KATIE JANE FRITZ M.D.
Surgery
777 HOSPITAL WAY STE 201
POCATELLO, ID 83201
Bannock County (208) 239-2620
DR. JUNE E HEILMAN M. D.
Surgery
777 HOSPITAL WAY STE 201
POCATELLO, ID 83201
Bannock County (208) 239-2260

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 Krista Diekemper's NPI number?

The NPI number for Krista Diekemper is 1720741101. It was assigned to this individual provider in the NPPES registry on October 21, 2021.

Where is Krista Diekemper located?

Krista Diekemper practices at 777 Hospital Way Ste 201, Pocatello, ID 83201. The listed phone number is (208) 239-2620.

What is Krista Diekemper's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Krista Diekemper enrolled in Medicare?

Yes. Krista Diekemper is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Krista Diekemper's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Krista Diekemper reassigns Medicare benefits to Pocatello Health Services, LLC (Pocatello, ID). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Krista Diekemper's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Krista Diekemper accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Select Health list Krista Diekemper 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 Krista Diekemper was last updated on October 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.