Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Amy L Dietrich, PAC

Individual provider Physician Assistant · NPI 1053387522

Amy L Dietrich, PAC is a Physician Assistant in Dakota Dunes, South Dakota. Qualified in 1996, 30 years ago. Practices with Cnos PC, a 98-clinician group and accepts Medicare assignment. Licensed in South Dakota.

Years since qualifying
30
Licensed in
SD
In the registry since
2006
Specialties on file
2
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

705 Sioux Point Rd Ste 100
Dakota Dunes, SD 57049
Phone: (605) 217-5500
Fax: (605) 217-5515
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0598 (SD)
Physician Assistant Taxonomy 363A00000X · Licence L1728 (SD)

Record details

NPI number1053387522
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedFebruary 24, 2006
Last updated in NPPESMay 26, 2010

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Cnos Pc — 98 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Dakota Dunes