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

Jay Martin Dietrich, APN, NP-C

Individual provider Family Nurse Practitioner · NPI 1225629447

Jay Martin Dietrich, APN, NP-C is a Nurse Practitioner in Normal, Illinois. Qualified in 2020, 6 years ago. Practices with Osf Multi-Specialty Group, a 2,128-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
6
Licensed in
IL
In the registry since
2021
Specialties on file
2
What do these letters mean?
APN — Advanced Practice Nurse
The umbrella title some states use for nurse practitioners and other advanced practice nurses.
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

See every abbreviation used in this directory →

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Practice location Address checks out

2200 Fort Jesse Rd Ste 110
Normal, IL 61761-6286
Phone: (309) 661-6290
Fax: (309) 451-1354
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209021931 (IL)
Nurse Practitioner Taxonomy 363L00000X · Licence 209021931 (IL)

Record details

NPI number1225629447
Entity typeIndividual (Type 1)
GenderMale
Credentials APN , NP-C
Sole proprietorNo
NPI enumeratedJanuary 30, 2021
Last updated in NPPESMay 29, 2026
Certification dateMay 29, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Osf Multi-Specialty Group — 2128 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Normal