RENEE L DIETRICH
NPI 1821377177
Nurse Practitioner - Family in Menominee, MI
About Renee L Dietrich NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RENEE L DIETRICH (NPI 1821377177) is an individual family provider in Menominee, Michigan, licensed in Wisconsin (7315-33) and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Renee L Dietrich is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Renee Dietrich reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Dallas, TX 75244
- Reassigned Medicare billing, Wisconsin enrollment
- 303 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 49858 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
MENOMINEE, MI 49858
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 Renee Dietrich's NPI number?
The NPI number for Renee Dietrich is 1821377177. It was assigned to this individual provider in the NPPES registry on August 4, 2011.
Where is Renee Dietrich located?
Renee Dietrich practices at 1110 10th Ave Ste 101, Menominee, MI 49858. The listed phone number is (906) 863-1286.
What is Renee Dietrich's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Renee Dietrich enrolled in Medicare?
Yes. Renee Dietrich is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Renee Dietrich's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Renee Dietrich reassigns Medicare benefits to Signify Health Medical Associates, PLLC (Dallas, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Renee Dietrich's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Renee Dietrich accept?
Health plans from CareSource (Common Ground Healthcare) list Renee Dietrich as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Renee Dietrich was last updated on April 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Renee L Dietrich · NPI 1821377177
Family physician in Menominee, Michigan. Individual provider, active in the CMS NPPES registry since August 4, 2011.
## Identity
- **NPI:** 1821377177 (Entity type: Individual)
- **Enumerated:** August 4, 2011
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 7315-33 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 1110 10TH AVE STE 101, Menominee, MI 49858-3058
- **Phone:** (906) 863-1286
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Signify Health Medical Associates, PLLC (NPI 1750845863, Dallas, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 17, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1821377177) · Data from the CMS NPPES public registry.