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

Carrie Dierdorff

Individual provider Primary Care Nurse Practitioner · NPI 1356858476

Carrie Dierdorff is a Nurse Practitioner in York, Pennsylvania. Qualified in 2017, 9 years ago. Practices with Wellspan Medical Group, a 2,342-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
9
Licensed in
PA
In the registry since
2018
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Practice location Address checks out

2350 Freedom Way Ste 202
York, PA 17402-8202
Phone: (717) 851-1543
Fax: (717) 798-3250
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence SP018308 (PA)

Record details

NPI number1356858476
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 10, 2018
Last updated in NPPESSeptember 6, 2023
Certification dateSeptember 6, 2023
Mailing addressPo Box 2347, York, PA 17405-2347

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Wellspan Medical Group — 2342 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in York