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Active NPI 1891404232 Individual Practitioner Female Practitioner

Deanna Nicole Dietrich , PA-C

Physician Assistant • Fulton, NY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Deanna Dietrich, PA-C is a certified Physician Assistant practicing in Fulton, NY. With approximately 4 years of clinical experience since completing medical education in 2022, Deanna Dietrich delivers high-quality medical care to the local community at 501 HANNIBAL ST.

Deanna Dietrich is affiliated with Nadora Urgent Care, Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include emergency department visit with moderate level of medical decision making, emergency department visit with low level of medical decision making, emergency department visit for life threatening or functioning severity. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

501 Hannibal St

Fulton, NY 130691015

Telephone 3158871059
Associated Practice Facility / Clinic
🏢 Fulton Family Psychiatry Pc Facility NPI 1912563867

Medicare Profile & Education

Medical School

Other

Graduation Year

2022

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Fulton, NY

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
4 Yrs -6.4 yrs vs City Avg
City Avg: 10.4 Yrs
State Avg: 12.0 Yrs
Regional Practice Density
7 Specialists

Practicing in Fulton, NY (15701 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
75.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Dietrich (4 Years) 4 Yrs
Fulton Specialty Average (10.4 Years) 10.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making
68 68 $443.00 $107.85
99283 Emergency department visit with low level of medical decision making
29 29 $234.00 $64.65
99285 Emergency department visit for life threatening or functioning severity
15 15 $654.00 $157.45

Medical Specialties & State Licenses

CMS Verified: 2024-08-15
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License CO PA.0007617

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

NUCC Taxonomy Code: 363A00000X

State License FL PA9116592

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.

Emergency Medicine

NUCC Taxonomy Code: 207P00000X

State License FL PA9116592

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License NY 031818-01

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.

Hospital & Practice Group Affiliations

Nadora Urgent Care, Llc

1624 17th Ave, Greeley, CO 806315129

Phone: 9706633200

Practice Associates & Co-Workers

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

1 Associated Practitioners
Ashley Alicea

Counselor - Mental Health

NPI 1619859469

Career & Practice History Timeline

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

11 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 15, 2024

Physician Assistant (License #PA9116592 in FL)

📍
Updated Practice Location June 28, 2024

Registered at 501 HANNIBAL ST, FULTON, NY 130691015 (Tel: 3158871059)

📍
Updated Business Mailing Address June 28, 2024

Registered at 501 HANNIBAL ST, FULTON, NY 130691015 (Tel: 3158871059)

📍
Updated Practice Location January 06, 2023

Registered at 2776 CLEVELAND AVE, FORT MYERS, FL 339015864 (Tel: 2393431614)

📍
Updated Business Mailing Address January 06, 2023

Registered at PO BOX 2147, FORT MYERS, FL 339022147 (Tel: 2393431614)

NPI Profile Active November 15, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location November 15, 2022

Registered at 13681 DOCTORS WAY, FORT MYERS, FL 339124300 (Tel: 2393432000)

📍
Updated Business Mailing Address November 15, 2022

Registered at 2742 NW 5TH ST, CAPE CORAL, FL 339937058 (Tel: 2394647228)

👤
Provider Name / Credentials Updated November 15, 2022

Recorded as DEANNA DIETRICH, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 15, 2022

Emergency Medicine (License #PA9116592 in FL)

🟢
Initial NPI Registration & Enumeration November 15, 2022

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: 1891404232
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 15, 2022
Last Update: August 15, 2024
Sole Proprietor: No

Mailing Address

501 Hannibal St

Fulton, NY 130691015

Phone: 3158871059

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.