RENEE L DIETRICH
NPI 1821377177
Nurse Practitioner - Family in Menominee, MI

Active since August 04, 2011PECOS Enrolled
1110 10TH AVE STE 101, MENOMINEE, MI 49858(906) 863-1286 Get Directions Write a Review

NPPES record last updated: April 17, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1821377177
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameRENEE L DIETRICH
Location Address1110 10TH AVE STE 101Menominee, MI 49858-3058
Mailing Address325 E H StIron Mountain, MI 49801-4760 · (906) 774-3300
Sole ProprietorNo
Enumeration DateAugust 4, 2011
Last NPPES UpdateApril 17, 2020
NPPES CertifiedApril 17, 2020
NPI 1821377177 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
Licenses Licensed in WI · 7315-33 Licensed in IA · 088583
1110 10TH AVE STE 101, Menominee, MI 49858

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Renee L Dietrich 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 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.

New Patient
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 3

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

Social Worker
1110 10TH AVE STE 101
MENOMINEE, MI 49858
Physician Assistant
1110 10TH AVE STE 101
MENOMINEE, MI 49858
Family Medicine (Adult Medicine)
1110 10TH AVE STE 101
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.

When was this NPI record last updated?

The NPPES record for Renee Dietrich was last updated on April 17, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.