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Active NPI 1124008354 Individual Practitioner Female Practitioner

Diane L Dejong , PHYSICIAN ASSISTANT

Physician Assistant • Sully, IA

Professional Overview & Biography Verified Profile Summary

Diane Dejong, PHYSICIAN ASSISTANT is a registered healthcare professional specializing in Physician Assistant in Sully, IA. Practice services are available at 704 3RD ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

704 3rd St

Sully, IA 502511016

Telephone 6415943150
Fax 6415943795
Associated Practice Facility / Clinic
🏢 Pella Regional Health Center Facility NPI 1104860808

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Sully, IA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.7 Yrs
Regional Practice Density
1 Specialists

Practicing in Sully, IA (1543 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-08-31
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License IA 001494

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.

Physician Assistant - Medical

NUCC Taxonomy Code: 363AM0700X

State License IA 001494

Definition to come...

Secondary Practice Locations

405 Monroe St

Pella, IA 502191189

Phone: 6416212200

Career & Practice History Timeline

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

9 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 31, 2022

Physician Assistant (License #001494 in IA)

📍
Updated Practice Location January 08, 2021

Registered at 704 3RD ST, SULLY, IA 502511016 (Tel: 6415943150)

📍
Updated Business Mailing Address January 08, 2021

Registered at 704 3RD ST, SULLY, IA 502511016 (Tel: 6415943150)

NPI Profile Active October 20, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location October 20, 2014

Registered at 100 E SHERMAN ST, MONROE, IA 501707923 (Tel: 6412592155)

📍
Updated Business Mailing Address October 20, 2014

Registered at 100 E SHERMAN ST, MONROE, IA 501707923 (Tel: 6412592155)

👤
Provider Name / Credentials Updated October 20, 2014

Recorded as DIANE DEJONG, PHYSICIAN ASSISTANT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 20, 2014

Physician Assistant (License #001494 in IA)

🟢
Initial NPI Registration & Enumeration January 23, 2006

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: 1124008354
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 23, 2006
Last Update: August 31, 2022
Sole Proprietor: No

Mailing Address

704 3rd St

Sully, IA 502511016

Phone: 6415943150

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.