AMANDA RENEE DIETRICH CNP
NPI 1780568055
Nurse Practitioner - Family in Bowling Green, MO

Q: What is Amanda Dietrich's NPI number?

The NPI number for Amanda Dietrich is 1780568055. It was assigned to this individual provider in the NPPES registry on July 31, 2025.

Q: What is Amanda Dietrich's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Amanda Dietrich was last updated on August 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since July 31, 2025PECOS Enrolled

905 HIGHWAY 161, BOWLING GREEN, MO 63334(573) 324-3333 Get Directions Write a Review

NPPES record last updated: August 14, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Amanda Renee Dietrich Cnp NPPES

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

AMANDA RENEE DIETRICH CNP (NPI 1780568055) is an individual family provider in Bowling Green, Missouri, licensed in Missouri (2025028303) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1780568055

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameAMANDA RENEE DIETRICHCredential: CNP

Location Address905 HIGHWAY 161Bowling Green, MO 63334-2431

Mailing AddressPo Box 25New Melle, MO 63365-0025 · (636) 463-3277

Phone(573) 324-3333

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateJuly 31, 2025

Last NPPES UpdateAugust 14, 2025

NPPES CertifiedAugust 14, 2025

✔ NPI 1780568055 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 · 2025028303

905 HIGHWAY 161, Bowling Green, MO 63334

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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)

Amanda Renee Dietrich Cnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5890295158

PECOS Enrollment IDI20250821004443

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 63334 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

$81.64 typical visit price

range $52.28 – $161.24

Typical copayment $20.41 (range $13.07 – $40.31)

Most-billed visit code 99203

Established Patient

$93.24 typical visit price

range $16.30 – $131.05

Typical copayment $23.31 (range $4.07 – $32.76)

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 5

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

BGMG LLC

Family Medicine