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

Individual provider Physician Assistant · NPI 1609819754

Natalie Dieterle, PA is a Physician Assistant in Minneapolis, Minnesota. Qualified in 2001, 25 years ago. Practices with Fairview Express Care, a 1,964-clinician group and accepts Medicare assignment. Licensed in Michigan and Minnesota.

Years since qualifying
25
Licensed in
MI, MN
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

516 Delaware Street SE Clinic 5B Blood And Marrow Transplant (bmt Clinic)
Minneapolis, MN 55455
Phone: (612) 626-2663
Fax: (612) 626-2664
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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 11028 (MN)
Physician Assistant Taxonomy 363A00000X · Licence 5601004075 (MI)

Record details

NPI number1609819754
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 14, 2006
Last updated in NPPESMarch 26, 2013

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Fairview Express Care — 1964 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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