DUSTIN WYATT DUTCHER
NPI 1770342156
Student in an Organized Health Care Education/Training Program in New York, NY

Active since March 18, 2024PECOS Enrolled
100 E 77TH ST, NEW YORK, NY 10075(212) 434-2624 Get Directions Write a Review

NPPES record last updated: May 26, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dustin Wyatt Dutcher NPPES

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

DUSTIN WYATT DUTCHER (NPI 1770342156) is an individual student in an organized health care education/training program in New York, New York and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770342156
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDUSTIN WYATT DUTCHER
Location Address100 E 77TH STNew York, NY 10075-1850
Mailing Address100 E 77th StNew York, NY 10075-1850
Sole ProprietorYes
Enumeration DateMarch 18, 2024
Last NPPES UpdateMay 26, 2025
NPPES CertifiedMay 26, 2025
NPI 1770342156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
100 E 77TH ST, New York, NY 10075

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dustin Wyatt Dutcher is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner (Neonatal, Critical Care)
100 E 77TH ST
NEW YORK, NY 10075
Physician Assistant
100 E 77TH ST
NEW YORK, NY 10075
Student in an Organized Health Care Education/Training Program
100 E 77TH ST
NEW YORK, NY 10075
Student in an Organized Health Care Education/Training Program
100 E 77TH ST
NEW YORK, NY 10075
Student in an Organized Health Care Education/Training Program
100 E 77TH ST
NEW YORK, NY 10075
Physician Assistant
100 E 77TH ST
NEW YORK, NY 10075
Anesthesiology
100 E 77TH ST
NEW YORK, NY 10075
Nurse Practitioner (Acute Care)
100 E 77TH ST
NEW YORK, NY 10075

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 Dustin Dutcher's NPI number?

The NPI number for Dustin Dutcher is 1770342156. It was assigned to this individual provider in the NPPES registry on March 18, 2024.

Where is Dustin Dutcher located?

Dustin Dutcher practices at 100 E 77th St, New York, NY 10075. The listed phone number is (212) 434-2624.

What is Dustin Dutcher's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Dustin Dutcher enrolled in Medicare?

Yes. Dustin Dutcher is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Dustin Dutcher was last updated on May 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.