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KAREN DITTMER NP
NPI 1750520318
Nurse Practitioner - Family in Des Peres, MO

Active since February 05, 2009Opted out of Medicare · through Aug 5, 2027
13354 MANCHESTER RD, DES PERES, MO 63131(314) 475-3126(314) 475-3127 Get Directions Write a Review

NPPES record last updated: August 29, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 29, 2022, Aug 5, 2022 (2 updates tracked since 2022).

About Karen Dittmer Np NPPES

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

KAREN DITTMER NP (NPI 1750520318) is an individual family provider in Des Peres, Missouri, licensed in Missouri (144077) and active in the NPI registry since February 2009. She has opted out of Medicare through August 5, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1750520318
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKAREN DITTMERCredential: NP
Location Address13354 MANCHESTER RDDes Peres, MO 63131-1737
Mailing Address2307 Ranchland DriveQuincy, IL 62301 · (618) 971-5601 · Fax (636) 821-1251
Phone(314) 475-3126
Fax(314) 475-3127
Sole ProprietorYes
Enumeration DateFebruary 5, 2009
Last NPPES UpdateAugust 29, 20222 updates tracked since enumeration
NPPES CertifiedAugust 29, 2022
✔ NPI 1750520318 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 MO · 144077
13354 MANCHESTER RD, Des Peres, MO 63131
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Other Names 1

Former Name (1)Karen Delia Np

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Karen Dittmer Np has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 5, 2015 through August 5, 2027.

Opt-Out Effective DateAugust 5, 2015
Opt-Out In Effect ThroughAugust 5, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 3

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

MR. ANTHONY DALE UDZIELA PHD
Psychologist
13354 MANCHESTER RD, STE 220
SAINT LOUIS, MO 63131
St. Louis County (314) 614-9730
MR. JOHN JOSEPH GRIMAUD MA LPC LCSW
Social Worker (Clinical)
13354 MANCHESTER RD, SUITE 220
SAINT LOUIS, MO 63131
St. Louis County (314) 220-6981
DR. ROBERT ALAN BECKER PH.D.
Psychologist
13354 MANCHESTER RD, SUITE 220
SAINT LOUIS, MO 63131
St. Louis County (314) 994-7009

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 Karen Dittmer's NPI number?

The NPI number for Karen Dittmer is 1750520318. It was assigned to this individual provider in the NPPES registry on February 5, 2009. The provider is also known as Karen Delia Np.

Where is Karen Dittmer located?

Karen Dittmer practices at 13354 Manchester Rd, Des Peres, MO 63131. The listed phone number is (314) 475-3126.

What is Karen Dittmer's specialty?

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

Is Karen Dittmer enrolled in Medicare?

No. Karen Dittmer has opted out of Medicare through August 5, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Karen Dittmer was last updated on August 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.