Deborah S Dittberner, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

36264 Issued in MN

Practice address

5200 Douglas Dr N
Crystal, MN 55429-3104

Phone

(888) 290-1209

Fax

(833) 973-3527

NPI assigned

Jan 18, 2006

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

University of Minnesota Medical School, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Herself Health MN PCGroup PAC ID 6507234820, 31 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/31254/brand/1/csg/1/fhir/r4

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.

• Herself Health MN PC

  dba Herself Health

  • Internal Medicine Physician
  • Saint Paul, MN
  • NPI 1326775420

  Family Medicine

  Medicare reassignment Care Compare group NPD Authorized official
• Herself Health MN Integrative Health PC

  • Internal Medicine Physician
  • Saint Paul, MN
  • NPI 1316813884
  Medicare reassignment Authorized official
• Alexandria Clinic PA

  • Multi-Specialty Clinic/Center
  • Alexandria, MN
  • NPI 1346211315
  NPD
• Douglas County Hospital

  dba Alexandria Clinic, a service of Alomere Health

  • Family Medicine Physician
  • Alexandria, MN
  • NPI 1447526330
  NPD
• Walker Community Services, Inc.

  • Home Health Agency
  • Minnetonka, MN
  • NPI 1114939030
  NPD

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1801876776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15021 SPRING LAKE RD NW",
            "city": "MILTONA",
            "state": "MN",
            "postal_code": "563548306",
            "telephone_number": "320-491-8981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 DOUGLAS DR N",
            "city": "CRYSTAL",
            "state": "MN",
            "postal_code": "554293104",
            "telephone_number": "888-290-1209",
            "fax_number": "833-973-3527"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "610 30th Ave W",
            "address_2": "Alexandria Clinic",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "MN",
            "postal_code": "563083426",
            "country_code": "US",
            "telephone_number": "320-763-5123",
            "fax_number": "320-763-7883",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DITTBERNER",
        "first_name": "DEBORAH",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-18",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "36264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "deborah.dittberner.1@31254.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "Herself Health MN PC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5200 Douglas Dr N",
            "city": "Crystal",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554293104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sadiq Datoo, RPH
• Katilyn Marie Davis, CNP
• Jestine Amanda Dennis
• Hellina Tegagne Dessie, D.O.
• Erica Dirks
• Twila Donley
• Sanbate Dufo
• Clint M Dworshak, PHARM.D.
• Marian Eckhardt, PSYD, LP
• Edify Youth

• Family Medicine Physician in Crystal, MN
• Providers in Crystal, MN by specialty
• Family Medicine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.