Carrie Dierdorff

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

SP018308 Issued in PA

Practice address

2350 Freedom Way Ste 202
York, PA 17402-8202

Phone

(717) 851-1543

Fax

(717) 798-3250

NPI assigned

Jan 10, 2018

Last updated

Sep 6, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Xueqing Dierdorff Former name

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Wellspan Medical GroupGroup PAC ID 1951213115, 2,438 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wellspan York Hospital Hospital, York, PA, CCN 390046
• Gettysburg Hospital Hospital, Gettysburg, PA, CCN 390065

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cdierdorff18673@wellspan.direct-ci.com

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

• Wellspan Medical Group

  dba WellSpan Digestive Health

  • Gastroenterology Physician
  • York, PA
  • NPI 1669770004
  Medicare reassignment Care Compare group NPD
• Wellspan Medical Group

  dba WellSpan Pediatric Surgical Specialist

  • Pediatric Surgery Physician
  • York, PA
  • NPI 1104799428
  NPD
• Wellspan Medical Group

  dba WellSpan Family Medicine - Stiegel Pike

  • Family Medicine Physician
  • Schaefferstown, PA
  • NPI 1942998356
  NPD
• Wellspan Medical Group

  dba Wellspan Nephrology

  • Nephrology Physician
  • York, PA
  • NPI 1821159021
  NPD (past)

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

• The Gettysburg Hospital

  dba WellSpan Gettysburg Hospital SPU

  • Ambulatory Surgical Clinic/Center
  • Gettysburg, PA
  • NPI 1184882011

  Hospital

  Care Compare affiliation
• The Gettysburg Hospital

  • General Acute Care Hospital
  • Gettysburg, PA
  • NPI 1265466957
  Care Compare affiliation
• York Hospital

  • General Acute Care Hospital
  • York, PA
  • NPI 1326060492
  Care Compare affiliation
• York Hospital

  dba York Hospital Community Health Center

  • Clinic/Center
  • York, PA
  • NPI 1497814040

  Hospital

  Care Compare affiliation
• York Hospital

  dba WellSpan York Hospital OB/GYN

  • Clinic/Center
  • York, PA
  • NPI 1609112036

  Hospital

  Care Compare affiliation
• York Hospital

  • Family Medicine Physician
  • York, PA
  • NPI 1881617132

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1515542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1356858476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2347",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174052347",
            "telephone_number": "717-851-1543",
            "fax_number": "717-798-3250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 FREEDOM WAY STE 202",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174028202",
            "telephone_number": "717-851-1543",
            "fax_number": "717-798-3250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIERDORFF",
        "first_name": "CARRIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-10",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "PA",
            "license": "SP018308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "XUEQING",
            "last_name": "DIERDORFF",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Joranny Diaz Valdez
• Maria C Diaz, CRNP
• Grey Maria Dickinson, CRNA
• Kelly L Dickson, RD, LDN
• Dana Marie Diehl
• Donald Richard Dietrich, D.M.D.
• Malcolm Howard Dietrich, D.O.
• Stephen J Dietrich, D.O.
• Bruce Dietterick, DDS., M.S., P.C.
• Allison P Dietz, M.S

• Primary Care Nurse Practitioner in York, PA
• Providers in York, PA by specialty
• Primary Care Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.