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DEANNA NICOLE DIETRICH PA-C
NPI 1891404232
Physician Assistant in Fulton, NY

Active since November 15, 2022PECOS EnrolledAccepts Medicare Assignment
501 HANNIBAL ST, FULTON, NY 13069(315) 887-1059 Get Directions Write a Review

NPPES record last updated: August 15, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 15, 2024, Jun 28, 2024, Jan 11, 2023 and 2 more (5 updates tracked since 2022).

About Deanna Nicole Dietrich Pa-c NPPES

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

DEANNA NICOLE DIETRICH PA-C (NPI 1891404232) is an individual physician assistant in Fulton, New York, licensed in Colorado (PA.0007617) and active in the NPI registry since November 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1891404232
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameDEANNA NICOLE DIETRICHCredential: PA-C
Location Address501 HANNIBAL STFulton, NY 13069-1015
Mailing Address501 Hannibal StFulton, NY 13069-1015 · (315) 887-1059
Phone(315) 887-1059
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateNovember 15, 2022
Last NPPES UpdateAugust 15, 20245 updates tracked since enumeration
NPPES CertifiedAugust 15, 2024
✔ NPI 1891404232 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in CO · PA.0007617✔ Licensed in FL · PA9116592✔ Licensed in NY · 031818-01
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedEmergency MedicineTaxonomy 207P00000X · License PA9116592 (FL)
501 HANNIBAL ST, Fulton, NY 13069
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Deanna Nicole Dietrich Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2062881261
PECOS Enrollment IDI20231219001842
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 13069 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Deanna Dietrich's NPI number?

The NPI number for Deanna Dietrich is 1891404232. It was assigned to this individual provider in the NPPES registry on November 15, 2022.

Where is Deanna Dietrich located?

Deanna Dietrich practices at 501 Hannibal St, Fulton, NY 13069. The listed phone number is (315) 887-1059.

What is Deanna Dietrich's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Deanna Dietrich enrolled in Medicare?

Yes. Deanna Dietrich is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Deanna Dietrich accept?

Health plans from Providence Health Plan list Deanna 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 Deanna Dietrich was last updated on August 15, 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.