Ethel Deitz, CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

357908 Issued in NY

Practice address

136 Pkwy Dr
Cobleskill, NY 12043

Phone

(518) 234-2555

NPI assigned

Dec 19, 2024

Last updated

Nov 25, 2025By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mary Imogene Bassett HospitalGroup PAC ID 3779488325, 780 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cobleskill Regional Hospital Hospital, Cobleskill, NY, CCN 331320

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Mary Imogene Bassett Hospital

  dba Bassett Medical Center

  • Multi-Specialty Clinic/Center
  • Cooperstown, NY
  • NPI 1083664221
  Medicare reassignment Care Compare group NPD
• Mary Imogene Bassett Hospital

  dba FoxCare Pharmacy

  • Specialty Pharmacy
  • Oneonta, NY
  • NPI 1174419196
  NPD

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

• Bassett Hospital of Schoharie County

  • Critical Access Hospital
  • Cobleskill, NY
  • NPI 1689741985
  Care Compare affiliation
• Bassett Hospital of Schoharie County

  • Critical Access Hospital
  • Cobleskill, NY
  • NPI 1891862579
  Care Compare affiliation

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

{
    "created_epoch": "1734566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764028800000",
    "number": "1649088865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ATWELL RD",
            "city": "COOPERSTOWN",
            "state": "NY",
            "postal_code": "133261301",
            "telephone_number": "607-547-3480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 PKWY DR",
            "city": "COBLESKILL",
            "state": "NY",
            "postal_code": "12043",
            "telephone_number": "518-234-2555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "786 Little Mill Rd",
            "address_purpose": "LOCATION",
            "city": "Monroeville",
            "state": "NJ",
            "postal_code": "083434622",
            "country_code": "US",
            "telephone_number": "856-628-3665",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEITZ",
        "first_name": "ETHEL",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-19",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ15235900",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "357908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Conway, 282424-1
• Emma Mackenzie Cronk, MD
• Heather Marie Culligan, CPHT
• CVS Albany LLC (CVS Pharmacy #07326)
• David J. Aidone (Aidone Eyecare)
• Catherine Rose Delliveneri, PTA
• Tanya Devlin, O.D.
• Carly Jo Diamond, RPH, PHARMD
• B Berenice Dooley, N.P.
• Diane June Douglass, CDN, DTR

• Family Nurse Practitioner in Cobleskill, NY
• Providers in Cobleskill, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2025; 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.