Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Deanna Nicole Dietrich, PA-C

Individual provider Physician Assistant · NPI 1891404232

Deanna Nicole Dietrich, PA-C is a Physician Assistant in Fulton, New York. Qualified in 2022, 4 years ago. Practices with Nadora Urgent Care, LLC, an 8-clinician group and accepts Medicare assignment. Licensed in Colorado, Florida and New York.

Years since qualifying
4
Licensed in
CO, FL, NY
In the registry since
2022
Specialties on file
4
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

501 Hannibal St
Fulton, NY 13069-1015
Phone: (315) 887-1059
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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 PA.0007617 (CO)
Physician Assistant Taxonomy 363A00000X · Licence PA9116592 (FL)
Emergency Medicine Physician Taxonomy 207P00000X · Licence PA9116592 (FL)
Physician Assistant Taxonomy 363A00000X · Licence 031818-01 (NY)

Record details

NPI number1891404232
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 15, 2022
Last updated in NPPESAugust 15, 2024
Certification dateAugust 15, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Nadora Urgent Care, Llc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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