KALYNN DIETZ NP-C
NPI 1962164194
Nurse Practitioner - Family in Leonardtown, MD
About Kalynn Dietz Np-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KALYNN DIETZ NP-C (NPI 1962164194) is an individual family provider in Leonardtown, Maryland, licensed in Maryland (R212116) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kalynn Dietz Np-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kalynn Dietz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Washington, DC 20036
- Reassigned Medicare billing, District of Columbia and Maryland enrollments
- 3,530 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 20650 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
LEONARDTOWN, MD 20650
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 Kalynn Dietz's NPI number?
The NPI number for Kalynn Dietz is 1962164194. It was assigned to this individual provider in the NPPES registry on October 5, 2021.
Where is Kalynn Dietz located?
Kalynn Dietz practices at 25500 Point Lookout Rd, Leonardtown, MD 20650. The listed phone number is (301) 475-6110.
What is Kalynn Dietz's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kalynn Dietz enrolled in Medicare?
Yes. Kalynn Dietz is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kalynn Dietz's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kalynn Dietz reassigns Medicare benefits to Medstar Medical Group II LLC (Washington, DC). The 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 Kalynn Dietz'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 Kalynn Dietz was last updated on October 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Kalynn Dietz, NP-C · NPI 1962164194
Family physician in Leonardtown, Maryland. Individual provider, active in the CMS NPPES registry since October 5, 2021.
## Identity
- **NPI:** 1962164194 (Entity type: Individual)
- **Enumerated:** October 5, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** R212116 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 25500 POINT LOOKOUT RD, Leonardtown, MD 20650-2015
- **Phone:** (301) 475-6110
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Medstar Medical Group II LLC (NPI 1376887844, Washington, DC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 5, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1962164194) · Data from the CMS NPPES public registry.