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Active NPI 1225629447 Individual Practitioner Male Practitioner

Jay Martin Dietrich , APN, NP-C

Nurse Practitioner - Family • Normal, IL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Jay Dietrich, APN, NP-C is a certified Nurse Practitioner - Family practicing in Normal, IL. With approximately 6 years of clinical experience since completing medical education in 2020, Jay Dietrich delivers high-quality medical care to the local community at 2200 FORT JESSE RD STE 110.

Jay Dietrich is affiliated with Osf Multi-Specialty Group and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, urinalysis, manual test, detection test for strep (streptococcus, group a). Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2200 Fort Jesse Rd Ste 110

Normal, IL 617616286

Telephone 3096616290
Fax 3094511354

Medicare Profile & Education

Medical School

Other

Graduation Year

2020

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Family in Normal, IL

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
6 Yrs -2.2 yrs vs City Avg
City Avg: 8.2 Yrs
State Avg: 8.9 Yrs
Regional Practice Density
47 Specialists

Practicing in Normal, IL (7705 Statewide)

Telehealth Adoption Rate
14.9% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
61.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Dietrich (6 Years) 6 Yrs
Normal Specialty Average (8.2 Years) 8.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
125 119 $294.00 $103.03
99213 Established patient office or other outpatient visit, typically 15 minutes
106 106 $208.00 $72.55
81002 Urinalysis, manual test
17 17 $22.00 $3.23
87651 Detection test for Strep (Streptococcus, group A)
13 12 $117.00 $34.39
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen
12 12 $90.00 $50.28
G0008 Administration of influenza virus vaccine
11 11 $34.00 $31.15

Medical Specialties & State Licenses

CMS Verified: 2026-05-29
Nurse Practitioner - Family Primary Specialty

NUCC Taxonomy Code: 363LF0000X

State License IL 209021931

Definition to come...

Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

State License IL 209021931

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Hospital & Practice Group Affiliations

Osf Multi-Specialty Group

8600 State Route 91, Peoria, IL 616157829

Phone: 3096835050

Osf Multi-Specialty Group

2200 Fort Jesse Rd, Normal, IL 617616286

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

20 Associated Practitioners
Bethani Christianson

Nurse Practitioner - Family

NPI 1003278581
Mallory Hippler , COUNSELOR

Counselor - Professional

NPI 1063765303
Jessica Johann

Nurse Practitioner

NPI 1083962500
Susan Rausch

Family Medicine

NPI 1093807885
NPI 1144266065

Doctor of Medicine (M.D.)

Misty Parker , LCSW

Social Worker - Clinical

NPI 1154034734

Licensed Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location May 29, 2026

Registered at 2200 FORT JESSE RD STE 110, NORMAL, IL 617616286 (Tel: 3096616290)

📍
Updated Business Mailing Address May 29, 2026

Registered at 2200 FORT JESSE RD STE 110, NORMAL, IL 617616286 (Tel: 3096616290)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 29, 2026

Nurse Practitioner (License #209021931 in IL)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 27, 2026

Nurse Practitioner (License #209021931 in IL)

NPI Profile Active January 30, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location January 30, 2021

Registered at 2200 E WASHINGTON ST, BLOOMINGTON, IL 617014364 (Tel: 3096623311)

📍
Updated Business Mailing Address January 30, 2021

Registered at 206 BEACON CIR, BLOOMINGTON, IL 617041414 (Tel: 3095020379)

👤
Provider Name / Credentials Updated January 30, 2021

Recorded as JAY DIETRICH, APN, NP-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 30, 2021

Registered Nurse (License #041446858 in IL)

🟢
Initial NPI Registration & Enumeration January 30, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1225629447
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 30, 2021
Last Update: May 29, 2026
Sole Proprietor: No

Mailing Address

2200 Fort Jesse Rd Ste 110

Normal, IL 617616286

Phone: 3096616290

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.