CARRIE J DYLLA PAC NPI 1245274240

NPI Information

NPI: 1245274240
Provider Name: CARRIE J DYLLA, PAC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Organization: HUMAN SERVICE AGENCY

PECOS Registration: Yes

Address:
123 19TH STREET NE
WATERTOWN, SD
ZIP 57201
Phone: (605) 886-8482
Get Directions

Carrie J Dylla, PAC is a psychiatric/mental health nurse practitioner in Watertown, SD with 23 years of experience. Carrie J Dylla, PAC NPI is 1245274240. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

123 19TH STREET NE
WATERTOWN, SD
ZIP 57201
Phone: (605) 886-8482
Fax: (605) 884-4300

The NPI 1245274240 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

Psychiatric diagnostic evaluation with medical services (HCPCS:90792)

The enumeration date for this NPI number is 6/16/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	1052055	SOUTH DAKOTA	Yes
2	363A00000X	Physician Assistant		0485	SOUTH DAKOTA	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	P43284	MEDICARE UPIN
2	6823410	MEDICAID	SOUTH DAKOTA
3	8388	MEDICARE ID-TYPE UNSPECIFIED	SOUTH DAKOTA
4	5200010	MEDICAID	SOUTH DAKOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »