Individual provider Active NPI

Hayley Dietrich, PA-C

  • Medical Physician Assistant
  • Lancaster, PA
National Provider Identifier
1083256713
Registry record updated Sep 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA061145 Issued in PA
Practice address
1650 Crooked Oak Dr Ste 200
Lancaster, PA 17601-4278
Phone
(717) 569-3279
NPI assigned
Oct 15, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA061145 PA Primary

Addresses

Primary practice location

1650 Crooked Oak Dr Ste 200
Lancaster, PA 17601-4278

Mailing address

277 W Lincoln Hwy Unit 405
Exton, PA 19341-2658
Phone (610) 451-1634

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191216002422 PA Practitioner - Physician Assistant 1153755673 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Associates of Lancaster, LTDGroup PAC ID 1658272307, 10 clinicians

Practice addresses (Care Compare)

1650 Crooked Oak Dr
Suite 200
Lancaster, PA 17601-4278
Phone (717) 569-3279

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
68.66 of 100Reported as individual
Quality
48.47
Promoting interoperability
90
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1571097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663200000000",
    "number": "1083256713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "277 W LINCOLN HWY UNIT 405",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193412658",
            "telephone_number": "610-451-1634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 CROOKED OAK DR STE 200",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176014278",
            "telephone_number": "717-569-3279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIETRICH",
        "first_name": "HAYLEY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-15",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA061145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.