Active NPI
Michele Deiterich, CRNA
- Certified Registered Nurse Anesthetist
- Ephrata, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN296687L
- Practice address
- 169 Martin Ave
Ephrata, PA 17522-1724 - Phone
- (717) 733-0311
- Fax
- (717) 721-5861
- NPI assigned
- Jan 28, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN296687L | PA | Primary |
Addresses
Primary practice location
169 Martin Ave
Ephrata, PA 17522-1724
Mailing address
601 Memory LN
York, PA 17402-2231
Phone (717) 851-1405
Other practice location 1
252 S 4th St
Lebanon, PA 17042-6111
Phone (717) 270-7500
Other practice location 2
25 Monument Rd
York, PA 17403-5060
Phone (717) 741-8250
Other practice location 3
1001 S George St
York, PA 17403-3676
Phone (717) 812-7687
Other practice location 4
4150 Barrett Blvd
Ephrata, PA 17522-8979
Phone (717) 859-5160
Other practice location 5
35 Erick Rd
Lancaster, PA 17601-3111
Phone (717) 690-0811
Organizations & group practices 14
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.
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- Podiatrist
- Chambersburg, PA
- NPI 1033897228
-
- Pulmonary Disease Physician
- York, PA
- NPI 1073756672
-
- Podiatrist
- Greencastle, PA
- NPI 1336827526
-
- Podiatrist
- Fayetteville, PA
- NPI 1700567260
-
- Urology Physician
- Gettysburg, PA
- NPI 1790195576
-
- Neurology Physician
- York, PA
- NPI 1831251792
-
- Diagnostic Radiology Physician
- York, PA
- NPI 1952587727
-
- Family Medicine Physician
- Thurmont, MD
- NPI 1881762995
-
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
- West Reading, PA
- NPI 1508940529
-
- Surgery Physician
- Wyomissing, PA
- NPI 1831954353
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Ambulatory Surgical Clinic/Center
- Lebanon, PA
- NPI 1205902343
Hospital
-
- General Acute Care Hospital
- Lebanon, PA
- NPI 1407928500
Hospital
-
- Emergency Medicine Physician
- Lebanon, PA
- NPI 1730754284
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Wellspan Medical Group
Practice addresses (Care Compare)
1001 S George St
York, PA 17403-3676
Phone (717) 812-7687
Hospital & facility affiliations
- Wellspan Ephrata Community Hospital
- Wellspan Good Samaritan Hospital
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140602002126 | PA | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 7214150705 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN296687L | PA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellspan Medical Group | Current | Accepting new patients | |
| Tower Health Medical Group | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| Tower Health Medical Group | Current | Accepting new patients | |
| Tower Health Medical Group | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients |
Locations
4150 Barrett Blvd
Ephrata, PA 17522
Phone (717) 738-5648
169 Martin Ave
Ephrata, PA 17522
Phone (717) 733-0311
35 Erick Rd
Lancaster, PA 17601
Phone (717) 690-0785
252 S 4th St
Lebanon, PA 17042
Phone (717) 270-7500
6 Spruce St
West Reading, PA 19611
Phone (484) 628-8269
301 S 7th Ave
Ste 130
West Reading, PA 19611
Phone (610) 988-4630
2610 Keiser Blvd
Wyomissing, PA 19610
Phone (484) 628-9127
1600 S George St
York, PA 17403
Phone (717) 848-3615
3421 Concord Rd
York, PA 17402
Phone (717) 851-2441
1001 S George St
York, PA 17403
Phone (717) 812-7687
601 Memory Ln
York, PA 17402
Phone (717) 851-6670
25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747267200000",
"number": "1104249093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 MEMORY LN",
"city": "YORK",
"state": "PA",
"postal_code": "174022231",
"telephone_number": "717-851-1405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "169 MARTIN AVE",
"city": "EPHRATA",
"state": "PA",
"postal_code": "175221724",
"telephone_number": "717-733-0311",
"fax_number": "717-721-5861"
}
],
"practiceLocations": [
{
"address_1": "252 S 4th St",
"address_purpose": "LOCATION",
"city": "Lebanon",
"state": "PA",
"postal_code": "170426111",
"country_code": "US",
"telephone_number": "717-270-7500",
"fax_number": "717-228-1642",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "25 Monument Rd",
"address_purpose": "LOCATION",
"city": "York",
"state": "PA",
"postal_code": "174035060",
"country_code": "US",
"telephone_number": "717-741-8250",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1001 S George St",
"address_purpose": "LOCATION",
"city": "York",
"state": "PA",
"postal_code": "174033676",
"country_code": "US",
"telephone_number": "717-812-7687",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4150 Barrett Blvd",
"address_purpose": "LOCATION",
"city": "Ephrata",
"state": "PA",
"postal_code": "175228979",
"country_code": "US",
"telephone_number": "717-859-5160",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "35 Erick Rd",
"address_purpose": "LOCATION",
"city": "Lancaster",
"state": "PA",
"postal_code": "176013111",
"country_code": "US",
"telephone_number": "717-690-0811",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEITERICH",
"first_name": "MICHELE",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-01-28",
"last_updated": "2025-05-15",
"certification_date": "2025-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "PA",
"license": "RN296687L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ephrata, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.