MRS. KARI NICOLE DIEDERICH (CRNA) – Certified Registered Nurse Anesthetist, NPI 1548368657

MRS. KARI NICOLE DIEDERICH (CRNA) is a healthcare provider. based in Midland, Michigan. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 4704215629 (MI). The NPI Number for MRS. KARI NICOLE DIEDERICH (CRNA) is 1548368657

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
MRS. KARI NICOLE DIEDERICH (CRNA)
NPI
1548368657
Phone
(989) 839-3000
Address
4005 ORCHARD DR
Enumeration Date
20 September 2006
Last Update Date
23 June 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9898393000
Graduation Year
2002 (24 years ago)
PAC ID
0244316313
Group Practice PAC ID
2264323633
Professional Enrollment ID
I20080329000098
Address ID
MI486702000MI4000XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,692 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MI

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Provider Addresses for MRS. KARI NICOLE DIEDERICH (CRNA)

  • Orchard Lab at MidMichigan Medical Center, 4005, Orchard Drive, Midland, Midland County, Michigan, 48640, United States

    MIDLAND, MI 486700001

    Phone: (989) 839-3000

    Type: Location

  • 2510, Greenwich Circle, Midland, Midland County, Michigan, 48642, United States

    MIDLAND, MI 486425253

    Phone: (989) 750-6343

    Fax: (989) 750-6343

    Type: Mailing

  • 4502 JAMES DR

    MIDLAND, MI 486423782

    Phone: (989) 600-3236

    Type: Mailing

  • 4000 WELLNESS DR

    MIDLAND, MI 486700001

    Phone: (989) 839-3000

    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: 2008-03-29

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
I20080329000098ICertified Registered Nurse Anesthetist (Crna)MITBD

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
36620Insertion of artery tube for blood sampling or infusion through skin3030$0
00560Anesthesia for procedure on heart and large blood vessels2727$0
00537Anesthesia for procedure to assess heart electrical activity1313$0
01926Anesthesia for x-ray on artery of brain, heart, or chest1212$0
00530Anesthesia for insertion of permanent heart pacemaker1111$0
View full utilization report →

Insurance plans in this area (ZIP 48670)

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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: 2264323633View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology)MI
Physician AssistantMI
Nurse PractitionerTX
Cardiovascular Disease (Cardiology), Interventional Cardiology, Cardiovascular Disease (Cardiology)MI
Pulmonary Disease, Critical Care (Intensivists)MI
Physician AssistantMI
-MI
-MI
-MI
Certified Registered Nurse Anesthetist (Crna)LA

Reviews

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Frequently asked questions

What unique ID ties claims to MRS. KARI NICOLE DIEDERICH (CRNA)?
NPI 1548368657 is assigned to MRS. KARI NICOLE DIEDERICH (CRNA) under the national enumeration system.
Is MRS. KARI NICOLE DIEDERICH (CRNA)'s NPI currently valid?
The extract we use shows MRS. KARI NICOLE DIEDERICH (CRNA) as active.
Does MRS. KARI NICOLE DIEDERICH (CRNA) list a primary specialty?
If you are matching referrals, note Certified Registered Nurse Anesthetist for MRS. KARI NICOLE DIEDERICH (CRNA). Clinical services aligned with this taxonomy classification.
Does MRS. KARI NICOLE DIEDERICH (CRNA) practice in Michigan?
You will see Midland, Michigan on file for MRS. KARI NICOLE DIEDERICH (CRNA) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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