Individual provider Active NPI

Dianna L Chizmas, ARNP

  • Family Nurse Practitioner
  • Sebring, FL
National Provider Identifier
1245496736
Registry record updated May 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP3150382 Issued in FL
Practice address
4421 Sun'N Lake Blvd
Suite B
Sebring, FL 33872-2172
Phone
(863) 382-9600
Fax
(863) 382-0107
NPI assigned
Aug 4, 2008
Last updated
May 21, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2013

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 ARNP3150382 FL Primary

Addresses

Primary practice location

4421 Sun'N Lake Blvd
Suite B
Sebring, FL 33872-2172

Mailing address

4421 Sun'N Lake Blvd
Suite B
Sebring, FL 33872-2172
Phone (863) 382-9600

Other identifiers 1

IdentifierTypeStateIssuer
000099300MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20080918000719 FL Practitioner - Nurse Practitioner 4183791031 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1210 US Hwy 27 N
Lake Placid, FL 33852-7948
Phone (863) 465-3777

6325 US Hwy 27 N
Sebring, FL 33870-8226
Phone (863) 471-3926

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health System-Sunbelt Inc CurrentSince Aug 7, 2008 Accepting new patients
Adventist Health System-Sunbelt Inc Family Past Accepting new patients
Adventist Health System-Sunbelt Inc Past Accepting new patients

Locations

1006 W Pleasant St
Avon Park, FL 33825
Phone (863) 453-3121

1210 US Highway 27 N
Lake Placid, FL 33852
Phone (863) 465-3777

2950 Alt US Hwy 27 S
Ste B
Sebring, FL 33870
Phone (863) 402-3429

4421 Sun N Lake Blvd
Ste B
Sebring, FL 33872
Phone (863) 382-9600

4638 Sun N Lake Blvd
Sebring, FL 33872
Phone (863) 386-0055

6325 US 27 N
Ste 201
Sebring, FL 33870
Phone (863) 382-9600

Interoperability endpoints

  • Direct secure messaging: dchizmas622089@adventhealth.direct-ci.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1217808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369094400000",
    "number": "1245496736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4421 SUN'N LAKE BLVD",
            "address_2": "SUITE B",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338722172",
            "telephone_number": "863-382-9600",
            "fax_number": "863-382-0107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4421 SUN'N LAKE BLVD",
            "address_2": "SUITE B",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338722172",
            "telephone_number": "863-382-9600",
            "fax_number": "863-382-0107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIZMAS",
        "first_name": "DIANNA",
        "middle_name": "L",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-04",
        "last_updated": "2013-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP3150382",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000099300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sebring, FL

Sources for this page

Verify at the official NPI Registry.