CHRISTINE DIEDERICH (NP) – Family Nurse Practitioner, NPI 1447212345

CHRISTINE DIEDERICH (NP) is a healthcare provider. based in Sartell, Minnesota. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. R128637-3 (MN). The NPI Number for CHRISTINE DIEDERICH (NP) is 1447212345

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
CHRISTINE DIEDERICH (NP)
NPI
1447212345
Phone
(320) 251-2600
Address
100 2ND ST S
Enumeration Date
5 April 2006
Last Update Date
31 January 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2188947870
Graduation Year
2010 (16 years ago)
PAC ID
5193900579
Group Practice PAC ID
8224948443
Professional Enrollment ID
I20110428000482
Address ID
MN564793336ST301XXNWXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

5,720 NURSE PRACTITIONER in MN

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Provider Addresses for CHRISTINE DIEDERICH (NP)

  • 100, 2nd Street South, Hi-Vue Trailer Park, Sartell, Stearns County, Minnesota, 56377, United States

    SARTELL, MN 563771977

    Phone: (320) 251-2600

    Fax: (320) 251-4763

    Mailing address matches the actual address.

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: 2011-04-28

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
I20110428000482INurse PractitionerMNTBD

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 minutes219217$0
99214Established patient office or other outpatient visit, 30-39 minutes4644$0
99203New patient office or other outpatient visit, 30-44 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 56377)

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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: 8224948443View full group profile
NameSpecialtyState
-MN
Nurse PractitionerMN
Certified Registered Nurse Anesthetist (Crna)ND
Nurse PractitionerMN
Emergency MedicineMN
Nurse PractitionerMN
Certified Registered Nurse Anesthetist (Crna)MN
Diagnostic RadiologyMN
Nurse PractitionerMN
Hospitalist, Internal Medicine, Internal Medicine, HospitalistWI

Reviews

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Frequently asked questions

What NPI should I save for CHRISTINE DIEDERICH (NP)?
Save NPI 1447212345 if you need a stable reference for CHRISTINE DIEDERICH (NP).
Is CHRISTINE DIEDERICH (NP)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does CHRISTINE DIEDERICH (NP) list a primary specialty?
If you are matching referrals, note Family Nurse Practitioner for CHRISTINE DIEDERICH (NP). Clinical services aligned with this taxonomy classification.
Where does public data place CHRISTINE DIEDERICH (NP)?
The snapshot lists Sartell, Minnesota for CHRISTINE DIEDERICH (NP); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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