Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Krista Dietershagen, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1720796121

Krista Dietershagen, FNP-BC is a Nurse Practitioner in Albany, New York. Qualified in 2022, 4 years ago. Practices with St Peter's Health Partners Medical Associates, PC, a 480-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
4
Licensed in
NY
In the registry since
2022
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

319 S Manning Blvd Ste 304
Albany, NY 12208-1744
Phone: (518) 525-5206
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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 351110 (NY)

Record details

NPI number1720796121
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedNovember 14, 2022
Last updated in NPPESMay 15, 2023
Certification dateMay 15, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice St. Peter'S Health Partners Medical Associates, P.C. — 480 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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