Deanna Nicole Dietrich, PA-C
NPI 1891404232ActiveIndividual· Physician Assistant· Fulton, NY
Physician Assistant (PA-C) with Nadora Urgent Care, LLC, practicing in Fulton, New York. Their prescriptions cost Medicare Part D more than their services did: $7,103 for 178 claims, against $1,247 paid for services in 2024.
Overview
| NPI | 1891404232 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Nov 15, 2022 |
| Last updated in NPPES | Aug 15, 2024 |
| Certified by provider | Aug 15, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA.0007617 | CO |
| Physician Assistant | 363A00000X | PA9116592 | FL |
| Emergency Medicine | 207P00000X | PA9116592 | FL |
| Physician Assistant | 363A00000X | 031818-01 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (CO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 15 |
|---|---|
| Services billed | 18 across 5 procedure codes |
| Paid by Medicare | $1,247 |
Part D prescriptions in 2024
| Prescriptions (claims) | 178 · 181 30-day fills |
|---|---|
| Patients | 42 |
| Total drug cost | $7,103 |
| Generic share | 95% of claims |
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Nadora Urgent Care, LLCGreeley, CO · 7 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Physician Assistant providers in Fulton
- 1780317263
- 1366006033
- 1568144780
- 1861701799
- 1255449948
- 1396748448