Diane Dickinson, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD25688 Issued in ME

Practice address

100 Fore St
Portland, ME 04101-4879

Phone

(207) 808-0080

NPI assigned

Jun 15, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA, CT, MA, ME, NH5 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 5

Specialty

Family Practice

Education

University of Massachusetts Medical School, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Restoration Healthcare P.C.Group PAC ID 2860984127, 3 clinicians

Masstex Imaging, LLCGroup PAC ID 6709809585, 12 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: diane.dickinson@1027816006877188.direct.elationemr.com

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.

• Restoration Healthcare P.C.

  • Occupational Therapist
  • Portland, ME
  • NPI 1073492815
  Medicare reassignment Care Compare group NPD
• Masstex Imaging, LLC

  • Family Medicine Physician
  • Danvers, MA
  • NPI 1326091380

  CT, ME, NH

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777248000000",
    "number": "1104860519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 FORE ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041014879",
            "telephone_number": "207-808-0080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 FORE ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041014879",
            "telephone_number": "207-808-0080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4058 D St",
            "address_purpose": "LOCATION",
            "city": "Eureka",
            "state": "CA",
            "postal_code": "955036025",
            "country_code": "US",
            "telephone_number": "707-599-1561",
            "fax_number": "707-825-1116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DICKINSON",
        "first_name": "DIANE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "MD25688",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G69727",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G697270",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathryn M Diamond-Falk, MD
• Brittany Ann Diaz, CNM
• Faye E Dibella, LCSW
• Eli Reece Dibner-Dunlap
• Wendy Dibrigida, OTR
• David W Dickison, D.O.
• Diane Diconzo-Fanning, RN
• Katherine A Diconzo, APRN-CNP
• Shayna Christine Diedrich-Pugh, ACNP
• Hannah Elizabeth Dietz, DACM, LAC

• Family Medicine Physician in Portland, ME
• Providers in Portland, ME by specialty
• Family Medicine Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.