Dianne Lynne Wettersten, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

230955 Issued in AK

Practice address

700 Chief Eddie Hoffman Hwy Yukon-Kuskokwin Health Corp
Bethel, AK 99559

Phone

(907) 543-6000

NPI assigned

Jan 3, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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 and National Provider Directory roles.

• Kremmling Memorial Hospital District

  dba dba Middle Park Medical Center

  • Critical Access Hospital
  • Kremmling, CO
  • NPI 1619962321
  Medicare reassignment NPD
• Kremmling Memorial Hospital District

  dba Middle Park Medical Center - Fraser

  • Critical Access Hospital
  • Fraser, CO
  • NPI 1093546996
  NPD

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1972660124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 OLD DEER PATH WAY",
            "city": "CLEVELAND",
            "state": "GA",
            "postal_code": "305284245",
            "telephone_number": "970-531-6736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 CHIEF EDDIE HOFFMAN HWY YUKON-KUSKOKWIN HEALTH CORP",
            "city": "BETHEL",
            "state": "AK",
            "postal_code": "99559",
            "telephone_number": "907-543-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WETTERSTEN",
        "first_name": "DIANNE",
        "middle_name": "LYNNE",
        "name_prefix": "Ms.",
        "credential": "PAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-03",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AK",
            "license": "230955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Wertz
• Matthew J West, DMD
• Clifford R Westdahl
• Elena Christine Westdahl
• Janet Westlake
• Ryan Wheeler, LCSW
• Susan Wheeler, PHARMD
• Anne White
• Bryan Ellis White
• Dorothy White

• Physician Assistant in Bethel, AK
• Providers in Bethel, AK by specialty
• Physician Assistant in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.