KATHERINE MYCHAL DIPIETRO (CNM) – Midwife, NPI 1336797216

KATHERINE MYCHAL DIPIETRO (CNM) is a healthcare provider. based in Vancouver, Washington. specializing in CERTIFIED NURSE MIDWIFE (CNM). They hold the professional credentials CNM. They hold a License No. 202213862NP-PP (OR). The NPI Number for KATHERINE MYCHAL DIPIETRO (CNM) is 1336797216

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
KATHERINE MYCHAL DIPIETRO (CNM)
NPI
1336797216
Phone
(360) 433-0022
Address
900 NE 139TH ST STE 206
Enumeration Date
3 September 2019
Last Update Date
28 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5036921242
Graduation Year
2019 (7 years ago)
PAC ID
2567882970
Group Practice PAC ID
8527054014
Professional Enrollment ID
I20220926000702
Address ID
OR970627707TU19250AVEX404
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness85
Years active:6State licenses:1Digital endpointsOther names

231 CERTIFIED NURSE MIDWIFE (CNM) in WA

Provider Addresses for KATHERINE MYCHAL DIPIETRO (CNM)

  • 900 NE 139TH ST STE 206

    VANCOUVER, WA 986852519

    Phone: (360) 433-0022

    Fax: (360) 433-6159

    Type: Mailing

  • 7650 SW BEVELAND RD STE 200

    PORTLAND, OR 972238692

    Phone: (503) 601-3615

    Fax: (503) 646-1683

    Type: Mailing

  • 19250 SW 65TH AVE STE 300

    TUALATIN, OR 970627707

    Phone: (503) 692-1242

    Fax: (503) 691-3615

    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: 2022-09-26

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
I20220926000702ICertified Nurse Midwife (Cnm)ORTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98685)

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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: 8527054014View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YOR
-OR
Certified Nurse Midwife (Cnm)OR
O B S T E T R I C S/ G Y N E C O L O G YOH
-OR
Certified Nurse Midwife (Cnm)OR
O B S T E T R I C S/ G Y N E C O L O G YUT
-OR
Certified Nurse Midwife (Cnm)TN
-OR

Reviews

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Frequently asked questions

What is the standard ID for KATHERINE MYCHAL DIPIETRO (CNM) in the U.S.?
In the U.S., KATHERINE MYCHAL DIPIETRO (CNM) is identified by NPI 1336797216.
Should I treat KATHERINE MYCHAL DIPIETRO (CNM) as an active provider?
Patients and plans typically see KATHERINE MYCHAL DIPIETRO (CNM) as active in the national extract.
Which specialty label fits KATHERINE MYCHAL DIPIETRO (CNM)?
NPPES ties KATHERINE MYCHAL DIPIETRO (CNM) to Midwife in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to KATHERINE MYCHAL DIPIETRO (CNM)?
The directory associates KATHERINE MYCHAL DIPIETRO (CNM) with Vancouver, Washington. Check all listed addresses for suites or satellite offices.
Who maintains KATHERINE MYCHAL DIPIETRO (CNM)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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