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TANNER JON DIEMER MD
NPI 1902600885
Student in an Organized Health Care Education/Training Program in Burlington, VT

Active since April 01, 2025PECOS Enrolled
111 COLCHESTER AVE, BURLINGTON, VT 05401(802) 847-2345 Get Directions Write a Review

NPPES record last updated: April 1, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Tanner Jon Diemer Md NPPES

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

TANNER JON DIEMER MD (NPI 1902600885) is an individual student in an organized health care education/training program in Burlington, Vermont and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902600885
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameTANNER JON DIEMERCredential: MD
Location Address111 COLCHESTER AVEBurlington, VT 05401-1473
Mailing Address42326 470th AveWindom, MN 56101-3307 · (507) 822-6187
Phone(802) 847-2345
Sole ProprietorYes
Enumeration DateApril 1, 2025
NPPES CertifiedApril 1, 2025
✔ NPI 1902600885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

111 COLCHESTER AVE, Burlington, VT 05401
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tanner Jon Diemer Md 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.

Other Providers at the Same Location NPPES 20

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

CURTIS GREEN MD
Radiology (Diagnostic Radiology)
111 COLCHESTER AVE, PATRICK 109 MCHV
BURLINGTON, VT 05401
Chittenden County (802) 847-3592
DR. SCOTT D PERRAPATO D.O.
Urology
111 COLCHESTER AVE, FLETCHER ALLEN HEALTH CARE PAVILION LEVEL 5
BURLINGTON, VT 05401
Chittenden County (802) 847-2884
DR. JEFFREY B SCHNOOR PHARM.D.
Pharmacist
111 COLCHESTER AVE
BURLINGTON, VT 05401
Chittenden County (802) 847-0058
MICHAEL JOHN OBERDING MD
Anesthesiology
111 COLCHESTER AVE
BURLINGTON, VT 05401
Chittenden County (802) 847-2415
MRS. MICHELLE KATHLEEN KEARNEY PA C
Physician Assistant
111 COLCHESTER AVE, FLETCHER ALLEN HEALTH CARE NEUROSURGERY
BURLINGTON, VT 05401
Chittenden County (802) 847-4590
ELLEN GLORIA EVANS
Dietitian, Registered
111 COLCHESTER AVE, FLETCHER ALLEN HEALTH CARE
BURLINGTON, VT 05401
Chittenden County (802) 847-1400
MONIKA MODLINSKI M.D.
Anesthesiology
111 COLCHESTER AVE
BURLINGTON, VT 05401
Chittenden County (802) 847-2415
MRS. ANNE ELIZABETH KLEIN PA-C
Physician Assistant
111 COLCHESTER AVE, DERMATOLOGY OUTPATIENT CLINIC, 5TH FLOOR
BURLINGTON, VT 05401
Chittenden County (802) 847-4570

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 Tanner Diemer's NPI number?

The NPI number for Tanner Diemer is 1902600885. It was assigned to this individual provider in the NPPES registry on April 1, 2025.

Where is Tanner Diemer located?

Tanner Diemer practices at 111 Colchester Ave, Burlington, VT 05401. The listed phone number is (802) 847-2345.

What is Tanner Diemer's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Tanner Diemer enrolled in Medicare?

Yes. Tanner Diemer is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tanner Diemer was last updated on April 1, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.