KRISTA DIETERSHAGEN FNP-BC
NPI 1720796121
Nurse Practitioner - Family in Albany, NY

Q: What is Krista Dietershagen's NPI number?

The NPI number for Krista Dietershagen is 1720796121. It was assigned to this individual provider in the NPPES registry on November 14, 2022.

Q: What is Krista Dietershagen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since November 14, 2022PECOS EnrolledAccepts Medicare Assignment

319 S MANNING BLVD STE 304, ALBANY, NY 12208(518) 525-5206 Get Directions Write a Review

NPPES record last updated: May 15, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 15, 2023, May 3, 2023, Jan 24, 2023 and 1 more (4 updates tracked since 2022).

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About Krista Dietershagen Fnp-bc NPPES

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

KRISTA DIETERSHAGEN FNP-BC (NPI 1720796121) is an individual family provider in Albany, New York, licensed in New York (351110) and active in the NPI registry since November 2022. She is enrolled in Medicare PECOS, is affiliated with St Peter's Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1720796121

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKRISTA DIETERSHAGENCredential: FNP-BC

Location Address319 S MANNING BLVD STE 304Albany, NY 12208-1744

Mailing AddressPo Box 14890Albany, NY 12212-4890

Phone(518) 525-5206

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateNovember 14, 2022

Last NPPES UpdateMay 15, 20234 updates tracked since enumeration

NPPES CertifiedMay 15, 2023

✔ NPI 1720796121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NY · 351110

319 S MANNING BLVD STE 304, Albany, NY 12208

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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

Krista Dietershagen Fnp-bc 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 ID6002273117

PECOS Enrollment IDI20230606000417

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 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 low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

34 services27 patients

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.

15 services13 patients

Hospital Affiliations CMS Care Compare 2

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

St Peter's Hospital

Acute Care Hospitals · Albany, NY

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330057

Location315 South Manning BoulevardAlbany, NY 12208 · Albany County

Emergency services Birthing friendly

Samaritan Hospital Of Troy, New York

Acute Care Hospitals · Troy, NY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330180

Location2215 Burdett AvenueTroy, NY 12180 · Rensselaer County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12208 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

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 10

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

DR. ANDREW L ISENBERG MD

Surgery