Jay Martin Dietrich, APN, NP-C
NPI 1225629447ActiveIndividual· Nurse Practitioner, Family· Normal, IL
Nurse Practitioner, Family (APN, NP-C) with Osf Multi-Specialty Group, practicing in Normal, Illinois. 241 Medicare patients in 2024, $18,649 paid; nearly all of their 467 Part D prescriptions were generic (94%). Lists St Joseph Medical Center as a hospital affiliation.
Overview
| NPI | 1225629447 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | APN, NP-C |
| Sole proprietor | No |
| NPI issued | Jan 30, 2021 |
| Last updated in NPPES | May 29, 2026 |
| Certified by provider | May 29, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 209021931 | IL |
| Nurse Practitioner | 363L00000X | 209021931 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (IL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 241 |
|---|---|
| Services billed | 367 across 32 procedure codes |
| Paid by Medicare | $18,649 |
Part D prescriptions in 2024
| Prescriptions (claims) | 467 · 679 30-day fills |
|---|---|
| Patients | 270 |
| Total drug cost | $22,708 |
| Generic share | 94% of claims |
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Osf Multi-Specialty GroupMorton, IL · 2,114 clinicians
Hospital affiliation
- St Joseph Medical CenterBloomington, IL
Other facilities
- Osf Home Health-Eastern RegionHome health agency · Bloomington, IL
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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