Individual provider Active NPI

Diane Marie Oglesby, ARNP

  • Family Nurse Practitioner
  • Dubuque, IA
National Provider Identifier
1053628644
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A-100396 Issued in IA
Practice address
150 Mercy Dr
Dubuque, IA 52001-7301
Phone
(563) 589-8052
Fax
(563) 589-8157
NPI assigned
Sep 3, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A-100396 IA Primary

Addresses

Primary practice location

150 Mercy Dr
Dubuque, IA 52001-7301

Mailing address

150 Mercy Dr
Dubuque, IA 52001-7301
Phone (563) 589-8052

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rambousek.diane@direct.2.mycarefile.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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

Enrollment IDStateProvider typePAC IDDetails
I20140130000401 IA Practitioner - Nurse Practitioner 6608005277 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Medical Center-DubuqueGroup PAC ID 2668467168, 20 clinicians

Practice addresses (Care Compare)

150 Mercy Dr
Mercyone Dubuque Cancer Center
Dubuque, IA 52001-7320
Phone (563) 589-8024

250 Mercy Dr
Dubuque, IA 52001-7320
Phone (563) 589-8000

Hospital & facility affiliations

  • Mercyone Dubuque Medical Center Hospital, Dubuque, IA, CCN 160069

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
A-100396IAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Medical Center-Dubuque CurrentSince Feb 5, 2019 Accepting new patients
Mercy Medical Center-Dubuque CurrentSince Feb 5, 2019 Accepting new patients

Locations

150 Mercy Dr
Dubuque, IA 52001
Phone (563) 584-3480

1000 Langworthy St
Dubuque, IA 52001
Phone (563) 584-3455

250 Mercy Dr
Dubuque, IA 52001
Phone (563) 589-8000

Interoperability endpoints

  • Direct secure messaging: drambousek@midwestmedicalcenter.cernerdirect.com

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1283472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1053628644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 MERCY DR",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520017301",
            "telephone_number": "563-589-8052",
            "fax_number": "563-589-8157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 MERCY DR",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520017301",
            "telephone_number": "563-589-8052",
            "fax_number": "563-589-8157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGLESBY",
        "first_name": "DIANE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-03",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A-100396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rambousek.diane@direct.2.mycarefile.org",
            "affiliation": "N",
            "endpointDescription": "MercyOne Dubuque",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "250 Mercy Dr",
            "city": "Dubuque",
            "state": "IA",
            "country_code": "US",
            "postal_code": "520017320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dubuque, IA

Sources for this page

Verify at the official NPI Registry.