Brande Dietrich-McLean, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP016833 Issued in PA

Practice address

2500 W 12TH St
Erie, PA 16505-4500

Phone

(814) 838-9000

NPI assigned

Nov 23, 2016

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 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

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

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.

• University of Pittsburgh Cancer Institute Cancer Services

  • Radiation Oncology Physician
  • Pittsburgh, PA
  • NPI 1427025840
  Medicare reassignment NPD
• University of Pittsburgh Cancer Institute Cancer Services

  • Mobile Radiology Clinic/Center
  • Natrona Heights, PA
  • NPI 1912961350
  NPD
• Regional Health Services Inc

  • Family Medicine Physician
  • Erie, PA
  • NPI 1174520654
  NPD (past)

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

{
    "created_epoch": "1479859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632700800000",
    "number": "1992248934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 W 12TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165054500",
            "telephone_number": "814-388-9000",
            "fax_number": "814-451-0443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 W 12TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165054500",
            "telephone_number": "814-838-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIETRICH-MCLEAN",
        "first_name": "BRANDE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-23",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP016833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "unknown",
            "affiliation": "N",
            "endpointDescription": "unknown",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2500 W 12th St",
            "city": "Erie",
            "state": "PA",
            "country_code": "US",
            "postal_code": "165054500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Richard D. Dibacco, DPM
• Cheryl J. Dickson, CRNA
• Kellilynn Marie Dickson
• William Diefenbach
• David F. Dieteman, M.D.
• Marsha Sigrid Dietrich-McLean, D.O.
• Isabella Maria Dietz, PA-S
• Difranco Family Foot Care LLC
• Joseph M Difranco, DPM
• Carlee Difucci

• Family Nurse Practitioner in Erie, PA
• Providers in Erie, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2021; 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.