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

Ethel Deitz, CNP

Individual provider Family Nurse Practitioner · NPI 1649088865

Ethel Deitz, CNP is a Nurse Practitioner in Cobleskill, New York. Qualified in 2023, 3 years ago. Practices with Mary Imogene Bassett Hospital, a 779-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New Jersey and New York.

Years since qualifying
3
Licensed in
NJ, NY
In the registry since
2024
Specialties on file
2
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

136 Pkwy Dr
Cobleskill, NY 12043
Phone: (518) 234-2555
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 786 Little Mill Rd, Monroeville, NJ 08343-4622 — (856) 628-3665

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 357908 (NY)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 26NJ15235900 (NJ)

Record details

NPI number1649088865
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNP
Sole proprietorNo
NPI enumeratedDecember 19, 2024
Last updated in NPPESNovember 25, 2025
Certification dateNovember 25, 2025
Mailing address1 Atwell Rd, Cooperstown, NY 13326-1301

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Mary Imogene Bassett Hospital — 779 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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