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

Susan K Retzlaff Deitrick, PA-C

Individual provider Physician Assistant · NPI 1912907981

Susan K Retzlaff Deitrick, PA-C is a Physician Assistant in Grand Island, Nebraska. Qualified in 1998, 28 years ago. Practices with Grand Island Dermatology PC, a 9-clinician group and accepts Medicare assignment. Licensed in Nebraska.

Years since qualifying
28
Licensed in
NE
In the registry since
2005
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 →

Practice location Address checks out

418 N Webb Rd
Grand Island, NE 68803-4045
Phone: (308) 382-1100
Fax: (308) 385-0796
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 829 (NE)

Record details

NPI number1912907981
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 29, 2005
Last updated in NPPESFebruary 14, 2020
Certification dateFebruary 14, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Grand Island Dermatology Pc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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