MS. LOU ANN DIPETTA ANP-C NPI 1629219704

NPI Information

  • NPI: 1629219704
  • Provider Name: MS. LOU ANN DIPETTA, ANP-C
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 600 ROE AVENUE
    SUITE 1G
    ELMIRA, NY
    ZIP 14905
  • Phone: (607) 795-2820

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NPI Details

MS. Lou Ann Dipetta, ANP-C is an adult health nurse practitioner in Elmira, NY with 18 years of experience. MS. Lou Ann Dipetta, ANP-C NPI is 1629219704. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduation Year:2008

The provider's business location address is:

600 ROE AVENUE
SUITE 1G
ELMIRA, NY
ZIP 14905-629
Phone: (607) 795-2820
Fax: (607) 795-2821

The NPI 1629219704 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.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)

The enumeration date for this NPI number is 3/18/2009 and was last updated on 4/17/2023.

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
1363L00000XNurse Practitioner305077NEW YORKNo
2363LA2200XNurse PractitionerAdult Health305077NEW YORKYes

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 Other Provider Identifier Issuer
1103181065MEDICAIDPENNSYLVANIA
2P01181372OTHERNEW YORKRAILROAD MEDICARE
303102325MEDICAIDNEW YORK

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: 11/21/2025

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