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Jacqueline Andria Dietrich

NPI 1285283747ActiveIndividual· Nurse Practitioner, Family· East Hartford, CT

Nurse Practitioner, Family in East Hartford, Connecticut, licensed in CT, with an NPI issued in September 2019. Their prescriptions cost Medicare Part D more than their services did: $212,661 for 2,591 claims, against $78,362 paid for services in 2024.

Overview

NPI1285283747
StatusActive
Entity typeIndividual
Sole proprietorYes
NPI issuedSep 8, 2019
Last updated in NPPESSep 8, 2019

Specialties and licenses

TaxonomyCodeLicenseState
Nurse Practitioner, Family Primary363LF0000X8199CT

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Nurse Practitioner (CT)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients202
Services billed1,210 across 6 procedure codes
Paid by Medicare$78,362

Part D prescriptions in 2024

Prescriptions (claims)2,591 · 2,599 30-day fills
Patients155
Total drug cost$212,661
Generic share80% of claims

Medicare sources and data years

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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