DEBORAH GLORIA BACA-DIETZ NP
NPI 1780196220
Nurse Practitioner - Family in Salem, OR

Q: What is Deborah Baca-dietz's NPI number?

The NPI number for Deborah Baca-dietz is 1780196220. It was assigned to this individual provider in the NPPES registry on October 24, 2017.

Q: What is Deborah Baca-dietz's specialty?

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

Active since October 24, 2017PECOS Enrolled

1233 EDGEWATER ST NW, SALEM, OR 97304(503) 378-7526 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 9, 2020, May 5, 2020, Jun 14, 2018 and 1 more (4 updates tracked since 2017).

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About Deborah Gloria Baca-dietz Np NPPES

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

DEBORAH GLORIA BACA-DIETZ NP (NPI 1780196220) is an individual family provider in Salem, Oregon, licensed in Oregon (201708782NP-PP) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780196220

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameDEBORAH GLORIA BACA-DIETZCredential: NP

Location Address1233 EDGEWATER ST NWSalem, OR 97304

Mailing Address1233 Edgewater St NwSalem, OR 97304-4049 · (503) 378-7526 · Fax (503) 588-5815

Phone(503) 378-7526

Sole ProprietorNo

Enumeration DateOctober 24, 2017

Last NPPES UpdateNovember 27, 20234 updates tracked since enumeration

NPPES CertifiedOctober 9, 2020

✔ NPI 1780196220 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 OR · 201708782NP-PP

1233 EDGEWATER ST NW, Salem, OR 97304

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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 (PECOS)

Deborah Gloria Baca-dietz Np 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97304 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

$84.82 typical visit price

range $54.96 – $166.64

Typical copayment $21.20 (range $13.74 – $41.66)

Most-billed visit code 99203

Established Patient

$97.16 typical visit price

range $17.68 – $136.19

Typical copayment $24.29 (range $4.42 – $34.04)

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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

3 suppliers33 claims33 services$14.82 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

3 suppliers33 claims33 services$78.28 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

1 supplier15 claims2,580 services$0.09 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

1 supplier15 claims15 services$24.27 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

TAMMY COOK

Counselor (Mental Health)