JULIE DITATA (AGNP-C) – Nurse Practitioner, NPI 1689245276

JULIE DITATA (AGNP-C) is a healthcare provider. based in Dartmouth, Massachusetts. specializing in NURSE PRACTITIONER. They hold the professional credentials AGNP-C. They hold a License No. RN2289149 (MA). The NPI Number for JULIE DITATA (AGNP-C) is 1689245276

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
JULIE DITATA (AGNP-C)
NPI
1689245276
Phone
(508) 996-3991
Address
531 FAUNCE CORNER RD
Enumeration Date
6 July 2021
Last Update Date
9 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5087583781
Graduation Year
2021 (5 years ago)
PAC ID
4587061569
Group Practice PAC ID
0749171957
Professional Enrollment ID
I20210917000091
Address ID
MA027195208FA208XXRDXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness85
Years active:4State licenses:1Digital endpointsOther names

8,972 NURSE PRACTITIONER in MA

Provider Addresses for JULIE DITATA (AGNP-C)

  • 531 FAUNCE CORNER RD

    DARTMOUTH, MA 027471242

    Phone: (508) 996-3991

    Type: Mailing

  • 200 MILL RD STE 180

    FAIRHAVEN, MA 027195255

    Phone: (508) 973-2000

    Fax: (508) 973-2001

    Type: Mailing

  • 235 HANOVER ST

    FALL RIVER, MA 027205246

    Phone: (508) 973-1021

    Fax: (508) 973-9185

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-09-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210917000091INurse PractitionerMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes12886$0
99214Established patient office or other outpatient visit, 30-39 minutes3028$0
View full utilization report →

Insurance plans in this area (ZIP 02747)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0749171957View full group profile
NameSpecialtyState
Nurse PractitionerRI
Pain Management, AnesthesiologyMA
Certified Registered Nurse Anesthetist (Crna)MA
Clinical Social WorkerMA
Hospitalist, Internal MedicineMA
Physician AssistantMA
H O S P I T A L I S TMA
Certified Registered Nurse Anesthetist (Crna)RI
Clinical Social WorkerMA
A N E S T H E S I O L O G YMA

Reviews

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Frequently asked questions

How do payers reference JULIE DITATA (AGNP-C)?
For JULIE DITATA (AGNP-C), use NPI 1689245276 as the unique 10-digit identifier.
Is JULIE DITATA (AGNP-C) still an active registrant?
JULIE DITATA (AGNP-C) carries an active NPI according to the public dataset.
What expertise is attributed to JULIE DITATA (AGNP-C)?
JULIE DITATA (AGNP-C)'s specialty line reads Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Massachusetts is JULIE DITATA (AGNP-C) registered?
Use Dartmouth, Massachusetts as the headline location for JULIE DITATA (AGNP-C) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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