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

Erin Marie Diedrick, PA-C

Individual provider Physician Assistant · NPI 1467980540

Erin Marie Diedrick, PA-C is a Physician Assistant in Appleton, Wisconsin. Qualified in 2017, 9 years ago. Practices with Ascension Medical Group-Fox Valley Wisconsin, Inc, a 260-clinician group, works from 3 locations and accepts Medicare assignment.

Years since qualifying
9
In the registry since
2017
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

5045 W Grande Market Dr
Appleton, WI 54913-8517
Phone: (715) 460-0488
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1818 N Meade St, Appleton, WI 54911-3454 — (920) 731-4101
  • W8862 County Road F, Shiocton, WI 54170-8704 — (715) 460-0488

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1467980540
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 1, 2017
Last updated in NPPESJuly 21, 2022
Certification dateAugust 12, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Ascension Medical Group-Fox Valley Wisconsin, Inc — 260 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Appleton