Nicole Marie Diodato, CRNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R165336 Issued in MD

Practice address

306 W Redwood St Ste 201
Baltimore, MD 21201-1708

Phone

(443) 806-8858

Fax

(800) 794-7922

NPI assigned

Jun 7, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MD, DC2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Premier Wellness HealthcareGroup PAC ID 1052688389, 9 clinicians

Matclinic Physicians Practice Group LLCGroup PAC ID 3274804349, 22 clinicians

Aspire Wellness Center IncGroup PAC ID 2961685706, 41 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Matclinic Physicians Practice Group LLC

  • Addiction Medicine (Internal Medicine) Physician
  • Dundalk, MD
  • NPI 1104375294

  Psychiatric/Mental Health

  Medicare reassignment Care Compare group NPD
• Matclinic Physicians Practice Group LLC

  • Addiction Medicine (Internal Medicine) Physician
  • Laurel, MD
  • NPI 1194217091

  DC, Psychiatric/Mental Health

  Medicare reassignment NPD
• Aspire Wellness Center, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Nottingham, MD
  • NPI 1780971630
  NPD
• Matclinic Physicians Practice Group LLC

  • Addiction (Substance Use Disorder) Counselor
  • Dundalk, MD
  • NPI 1801448360
  NPD
• Premier Wellness Healthcare

  • Mental Health Counselor
  • Bel Air, MD
  • NPI 1336948728
  NPD
• Premier Wellness Healthcare

  • Clinical Psychologist
  • Forest Hill, MD
  • NPI 1376087635
  NPD
• Dr. G Laser and Med Spa LLC

  • Dermatology Physician
  • Ellicott City, MD
  • NPI 1922615509
  NPD (past)
• Elm Psychological and Coaching Services

  • Clinical Psychologist
  • Lutherville, MD
  • NPI 1457912651
  NPD (past)
• Premier Wellness Healthcare

  • Mental Health Counselor
  • Fawn Grove, PA
  • NPI 1922554401
  NPD (past)

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

{
    "created_epoch": "1623024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778716800000",
    "number": "1033786363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 N MAIN ST",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210143539",
            "telephone_number": "888-333-1345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 W REDWOOD ST STE 201",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011708",
            "telephone_number": "443-806-8858",
            "fax_number": "800-794-7922"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "103 N Main St",
            "address_purpose": "LOCATION",
            "city": "Bel Air",
            "state": "MD",
            "postal_code": "210143539",
            "country_code": "US",
            "telephone_number": "888-333-1345",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "40 S Dundalk Ave",
            "address_purpose": "LOCATION",
            "city": "Dundalk",
            "state": "MD",
            "postal_code": "212224267",
            "country_code": "US",
            "telephone_number": "410-220-0720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIODATO",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-07",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R165336",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R165336",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Liban Dinka, MD
• Roni Elizabeth Dinkes, AUD
• Erika Rose Zwagil Dinovitz, D.P.T.
• Noam Dinovitz
• Joanne Beth Dintzis, CRNP
• Eugene Cuevas Diokno, MD
• Chimene Kiswey Diomi, CRNP-PMH
• Karen Dionesotes, MD, MPH
• Jeffery Alexander Diorio, PT, DPT
• Maria Veronica Dioverti Prono, M.D.

• Psychiatric/Mental Health Nurse Practitioner in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2026; 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.