THERESA MARIE DICROCE MD
NPI 1891721361
Family Medicine in Oroville, WA
About Theresa Marie Dicroce Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THERESA MARIE DICROCE MD (NPI 1891721361) is an individual family medicine provider in Oroville, Washington, licensed in Washington (00044218) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Confluence Health Hospital, and is a graduate of Tufts University School Of Medicine (1984).
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 and accepts Medicare assignment
Theresa Marie Dicroce Md 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.
Medicare Billing Reassignments
3Medicare enrollment records show Theresa Dicroce reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Tonasket, WA 98855
- Reassigned Medicare billing, Washington enrollment
- 197 clinicians in this Medicare group
Wenatchee, WA 98801
- Reassigned Medicare billing, Washington enrollment
- 651 clinicians in this Medicare group
Wenatchee, WA 98801
- Reassigned Medicare billing, Washington enrollment
- 558 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.
Areas of Expertise CMS Part B claims 3
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Confluence Health Hospital
Acute Care Hospitals · Wenatchee, WANorth Valley Hospital
Critical Access Hospitals · Tonasket, WAMid Valley Hospital
Critical Access Hospitals · Omak, WAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98844 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 11
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
OROVILLE, WA 98844
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 Theresa Dicroce's NPI number?
The NPI number for Theresa Dicroce is 1891721361. It was assigned to this individual provider in the NPPES registry on June 24, 2006.
Where is Theresa Dicroce located?
Theresa Dicroce practices at 1617 Main St, Oroville, WA 98844. The listed phone number is (509) 476-3631.
What is Theresa Dicroce's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Theresa Dicroce enrolled in Medicare?
Yes. Theresa Dicroce 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.
Which organizations bill Medicare for Theresa Dicroce's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Theresa Dicroce reassigns Medicare benefits to 3 organizations: Okanogan County Public Hospital Dist No 4 (Tonasket, WA), Central Washington Health Services Association (Wenatchee, WA) and Wenatchee Valley Hospital (Wenatchee, WA). 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 Theresa Dicroce's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Theresa Dicroce accept?
Health plans from Ambetter Health, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Theresa Dicroce 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.
Is Theresa Dicroce affiliated with any hospitals?
According to CMS data, Theresa Dicroce is affiliated with Confluence Health Hospital, North Valley Hospital and Mid Valley Hospital.
When was this NPI record last updated?
The NPPES record for Theresa Dicroce was last updated on June 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.