Individual provider Active NPI

Diane Rigazzi Adiutori, CRNP

  • Nurse Practitioner
  • Erie, PA
National Provider Identifier
1194789636
Registry record updated Apr 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP005609M Issued in PA
Practice address
232 W 25TH St
Erie, PA 16544-1036
Phone
(814) 452-5000
NPI assigned
Apr 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X SP005609-M PA
Acute Care Nurse Practitioner 363LA2100X SP005609M PA
Nurse Practitioner 363L00000X SP005609M PA Primary

Addresses

Primary practice location

232 W 25TH St
Erie, PA 16544-1036

Mailing address

5712 Footemill Rd
Erie, PA 16509-3802
Phone (814) 825-4000

Other practice location 1

116 Interstate Pkwy
Bradford, PA 16701-1036
Phone (814) 566-4810

Other identifiers 4

IdentifierTypeStateIssuer
102505070MedicaidPA
1194789636OtherPAHEALTH AMERICA
1194789636OtherPAUNITED HEALTHCARE
4600770OtherPACIGNA

Other names 1

  • Mrs. Diane Margaret Adiutori Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL diane.adiutori@apogeephysicians.com Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP005609-MPAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Vincent Medical Education and Research Institute Inc Past Accepting new patients
Saint Vincent Medical Education and Research Institute Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619740800000",
    "number": "1194789636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5712 FOOTEMILL RD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165093802",
            "telephone_number": "814-825-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 W 25TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165441036",
            "telephone_number": "814-452-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "116 Interstate Pkwy",
            "address_purpose": "LOCATION",
            "city": "Bradford",
            "state": "PA",
            "postal_code": "167011036",
            "country_code": "US",
            "telephone_number": "814-566-4810",
            "fax_number": "814-456-6170",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADIUTORI",
        "first_name": "DIANE",
        "middle_name": "RIGAZZI",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-13",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP005609-M",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "PA",
            "license": "SP005609M",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP005609M",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102505070",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA",
            "identifier": "1194789636",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1194789636",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4600770",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "diane.adiutori@apogeephysicians.com",
            "affiliation": "N",
            "endpointDescription": "Apogee physician email",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "emergency only",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "other",
            "address_1": "116 Interstate Pkwy",
            "city": "Bradford",
            "state": "PA",
            "country_code": "US",
            "postal_code": "167011036",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "DIANE",
            "last_name": "ADIUTORI",
            "middle_name": "MARGARET",
            "prefix": "MRS.",
            "credential": "CRNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Erie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.