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Active NPI 1649940115 Individual Practitioner Female Practitioner

Dr. Tracy M Diefenbach , PHD MRMS CCTP

Specialist - Research Study • Fosston, MN

Professional Overview & Biography Verified Profile Summary

Dr. Tracy Diefenbach, PHD MRMS CCTP is a registered healthcare professional specializing in Specialist - Research Study in Fosston, MN. Practice services are available at 816 2ND ST NE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

816 2nd St Ne

Fosston, MN 565421519

Telephone 2186370399
Associated Practice Facility / Clinic
🏢 The Mrms Research Foundation Facility NPI 1033081310

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist - Research Study in Fosston, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Fosston, MN (23 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: 2025-09-18
Specialist - Research Study Primary Specialty

NUCC Taxonomy Code: 1744R1102X

Definition to come...

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location September 18, 2025

Registered at 816 2ND ST NE, FOSSTON, MN 565421519 (Tel: 2186370399)

📍
Updated Business Mailing Address September 18, 2025

Registered at 816 2ND ST NE, FOSSTON, MN 565421519 (Tel: 2186370399)

✅
NPI Profile Active September 16, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location September 16, 2021

Registered at 13952 387TH AVE, WARNER, SD 574796304 (Tel: 6052528792)

📍
Updated Business Mailing Address September 16, 2021

Registered at 13952 387TH AVE, WARNER, SD 574796304 (Tel: 6052528792)

👤
Provider Name / Credentials Updated September 16, 2021

Recorded as TRACY DIEFENBACH, PHD MRMS CCTP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 16, 2021

Specialist

🟢
Initial NPI Registration & Enumeration September 16, 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: 1649940115
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 16, 2021
Last Update: September 18, 2025
Sole Proprietor: No
Update or Correct Profile

Mailing Address

816 2nd St Ne

Fosston, MN 565421519

Phone: 2186370399

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.