JENNIFER DIETRICH FNP
NPI 1821496720
Nurse Practitioner - Family in Henrico, VA

Q: What is Jennifer Dietrich's NPI number?

The NPI number for Jennifer Dietrich is 1821496720. It was assigned to this individual provider in the NPPES registry on December 9, 2014. The provider is also known as Jennifer Dietrich Ayala Rn.

Q: What is Jennifer 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 Jennifer Dietrich was last updated on June 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since December 09, 2014PECOS Enrolled

1504 SANTA ROSA RD RM 114, HENRICO, VA 23229(804) 210-3103(804) 210-3104 Get Directions Write a Review

NPPES record last updated: June 5, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 5, 2024, Mar 2, 2022, Sep 28, 2021 (3 updates tracked since 2021).

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About Jennifer Dietrich Fnp NPPES

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

JENNIFER DIETRICH FNP (NPI 1821496720) is an individual family provider in Henrico, Virginia, licensed in Virginia (0024172207) and active in the NPI registry since December 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821496720

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJENNIFER DIETRICHCredential: FNP

Location Address1504 SANTA ROSA RD RM 114Henrico, VA 23229-5109

Mailing Address28 Abby RdPalmyra, VA 22963-2085 · (434) 589-2278

Phone(804) 210-3103

Fax(804) 210-3104

Sole ProprietorNo

Enumeration DateDecember 9, 2014

Last NPPES UpdateJune 5, 20243 updates tracked since enumeration

NPPES CertifiedJune 5, 2024

✔ NPI 1821496720 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 VA · 0024172207

1504 SANTA ROSA RD RM 114, Henrico, VA 23229

Open in Google Maps ↗

Other Names 1

Former Name (1)Jennifer Dietrich Ayala Rn

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Dietrich Fnp 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.

Medicare Billing Reassignments

Medicare enrollment records show Jennifer Dietrich reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Minuteclinic Diagnostic Of Virginia LLC

102 mi

Family

19305 RUBY DR
Leesburg, VA 20176

Reassigned Medicare billing, District of Columbia and Virginia enrollments
266 clinicians in this Medicare group

NPI 1417076829 (866) 389-2727

Landmark Medical Of Tennessee PC

110 mi

General Practice

1910 TOWNE CENTRE BLVD STE 250
Annapolis, MD 21401

Reassigned Medicare billing, Maryland enrollment
6 clinicians in this Medicare group

NPI 1922722172 (657) 400-5180

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month 99489

Complex chronic care management is a service for patients with multiple chronic conditions. It involves an additional 60 minutes per month of clinical staff time directed by a healthcare professional. This service assists in managing your health conditions effectively.

149 services28 patients

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439

Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.

92 services40 patients

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349

An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.

91 services47 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

80 services44 patients

Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month 99487

Complex chronic care management is a service for patients with two or more long-term health conditions. It involves a healthcare professional directing clinical staff in providing care for the first 60 minutes each month. This helps manage your health conditions effectively.

48 services28 patients

Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350

An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.

36 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23229 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

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

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 12

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

AT HOME HARMONY OF SOUTH CAROLINA PC

Internal Medicine (Geriatric Medicine)

1504 SANTA ROSA RD RM 114
HENRICO, VA 23229

Henrico County (804) 210-3103

CRYSTAL MANN-ELLIS NP

Nurse Practitioner (Family)

1504 SANTA ROSA RD RM 114
HENRICO, VA 23229

Henrico County (804) 210-3103

HARMONY AT HOME PROVIDER SERVICES LLC

Internal Medicine (Geriatric Medicine)

1504 SANTA ROSA RD RM 114
HENRICO, VA 23229

Henrico County (804) 210-3103

AT HOME HARMONY OF PENNSYLVANIA PC

Internal Medicine (Geriatric Medicine)

1504 SANTA ROSA RD RM 114
HENRICO, VA 23229

Henrico County (804) 210-3103

AT HOME HARMONY OF WISCONSIN INC

Internal Medicine (Geriatric Medicine)

1504 SANTA ROSA RD RM 114
HENRICO, VA 23229

Henrico County (804) 210-3103

AT HOME HARMONY OF GEORGIA PC

Internal Medicine (Geriatric Medicine)

1504 SANTA ROSA RD RM 114
HENRICO, VA 23229

Henrico County (804) 210-3103

SANDHYA POUDEL SUBEDI

Nurse Practitioner (Psychiatric/Mental Health)

1504 SANTA ROSA RD RM 114
RICHMOND, VA 23229

Henrico County (804) 210-3103

AT HOME HARMONY OF TEXAS PC

Internal Medicine (Geriatric Medicine)

1504 SANTA ROSA RD RM 114
HENRICO, VA 23229

Henrico County (804) 210-3103

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 Jennifer Dietrich's NPI number?

The NPI number for Jennifer Dietrich is 1821496720. It was assigned to this individual provider in the NPPES registry on December 9, 2014. The provider is also known as Jennifer Dietrich Ayala Rn.

Where is Jennifer Dietrich located?

Jennifer Dietrich practices at 1504 Santa Rosa Rd Rm 114, Henrico, VA 23229. The listed phone number is (804) 210-3103.

What is Jennifer Dietrich's specialty?

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

Is Jennifer Dietrich enrolled in Medicare?

Yes. Jennifer Dietrich is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jennifer Dietrich's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Dietrich reassigns Medicare benefits to 2 organizations: Minuteclinic Diagnostic Of Virginia LLC (Leesburg, VA) and Landmark Medical Of Tennessee PC (Annapolis, MD). Each 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 Jennifer Dietrich's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jennifer Dietrich was last updated on June 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.