Active NPI
Diana Kristine Falise, APRN
- Family Nurse Practitioner
- Green Cove Springs, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11023934
- Practice address
- 1305 N Orange Ave
Green Cove Springs, FL 32043-2547 - Phone
- (904) 284-5904
- Fax
- (904) 284-5905
- NPI assigned
- Apr 20, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Registered Nurse | 163WG0000X | 11023933 | FL | |
| Family Nurse Practitioner | 363LF0000X | 10046724 | OR | |
| Family Nurse Practitioner | 363LF0000X | 11023934 | FL | Primary |
Addresses
Primary practice location
1305 N Orange Ave
Green Cove Springs, FL 32043-2547
Mailing address
1302 River St
Palatka, FL 32177-5042
Phone (386) 328-0108
Other practice location 1
3400 Cooperative Way
Lebanon, OR 97355-4063
Phone (541) 666-3305
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3400 Cooperative Way
Lebanon, OR 97355-3984
Phone (541) 640-7625
Hospital & facility affiliations
- Samaritan Lebanon Community Hospital
- Samaritan Albany General Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11023933 | FL | MD | General Practice Registered Nurse |
| 11023934 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rural Health Care, Inc. | Current | Accepting new patients | |
| Rural Health Care Incorporated | Current | Accepting new patients | |
| Rural Health Care Incorporated | Current | Accepting new patients | |
| Icco, LLC | Current | Accepting new patients | |
| Icco LLC | Current | Accepting new patients | |
| Icco, LLC | Current | Accepting new patients |
Locations
100 Commercial Dr
Keystone Hgts, FL 32656
Phone (352) 473-6595
1302 River St
Palatka, FL 32177
Phone (386) 328-0108
600 Jefferson St
Ste 600
Lafayette, LA 70501
Phone (337) 202-0720
598 E 13th Ave
Eugene, OR 97401
Phone (541) 636-3473
3675 Pacific Ave
#101
Forest Grove, OR 97116
Phone (971) 762-4611
1890 NW 6th St
Grants Pass, OR 97526
Phone (541) 507-0684
355 W 3rd Ave
Junction City, OR 97448
Phone (541) 998-2468
3737 Shasta Way
Ste A
Klamath Falls, OR 97603
Phone (541) 883-2337
3400 Cooperative Way
Lebanon, OR 97355
Phone (541) 333-6605
Interoperability endpoints
- diana.falise.p1@direct.azahealth.nextgenshare.com
Organizations & group practices 6
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.
-
- Urgent Care Clinic/Center
- Eugene, OR
- NPI 1407004757
-
- Federally Qualified Health Center (FQHC)
- Palatka, FL
- NPI 1871569061
-
- Federally Qualified Health Center (FQHC)
- Hawthorne, FL
- NPI 1114994944
-
- Federally Qualified Health Center (FQHC)
- Daytona Beach, FL
- NPI 1891227179
-
- Rural Health Clinic/Center
- Florence, OR
- NPI 1740896547
-
- Family Medicine Physician
- Eugene, OR
- NPI 1992861611
Hospital & facility affiliations 32
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Albany, OR
- NPI 1154372340
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Albany, OR
- NPI 1326755158
Hospital
-
- Endocrinology, Diabetes & Metabolism Physician
- Albany, OR
- NPI 1346620408
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755475200000",
"number": "1083301998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1302 RIVER ST",
"city": "PALATKA",
"state": "FL",
"postal_code": "321775042",
"telephone_number": "386-328-0108",
"fax_number": "386-325-1086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1305 N ORANGE AVE",
"city": "GREEN COVE SPRINGS",
"state": "FL",
"postal_code": "320432547",
"telephone_number": "904-284-5904",
"fax_number": "904-284-5905"
}
],
"practiceLocations": [
{
"address_1": "3400 Cooperative Way",
"address_purpose": "LOCATION",
"city": "Lebanon",
"state": "OR",
"postal_code": "973554063",
"country_code": "US",
"telephone_number": "541-666-3305",
"fax_number": "541-666-3306",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FALISE",
"first_name": "DIANA",
"middle_name": "KRISTINE",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-20",
"last_updated": "2025-08-18",
"certification_date": "2025-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "163WG0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, General Practice",
"state": "FL",
"license": "11023933",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OR",
"license": "10046724",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "11023934",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Green Cove Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2025; 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.