Individual provider Active NPI

Diana Heskin

  • Family Nurse Practitioner
  • Niles, IL
National Provider Identifier
1255832424
Registry record updated Feb 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209017052 Issued in IL
Practice address
7900 N Milwaukee Ave Ste 2-24
Niles, IL 60714-3186
Phone
(847) 825-0800
NPI assigned
Feb 23, 2018
Last updated
Feb 23, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2018

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 209017052 IL Primary

Addresses

Primary practice location

7900 N Milwaukee Ave Ste 2-24
Niles, IL 60714-3186

Mailing address

8715 W Madison Dr
Niles, IL 60714-2323
Phone (773) 350-4756

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
I20220418001814 FL Practitioner - Nurse Practitioner 7416210406 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mana Health Partners PAGroup PAC ID 3971952813, 102 clinicians
FCHR PAGroup PAC ID 9638121684, 19 clinicians

Practice addresses (Care Compare)

15204 W Colonial Dr
Winter Garden, FL 34787-6042
Phone (732) 719-5039

1529 Sunrise Plaza Dr
Suite 6
Clermont, FL 34714-6202
Phone (352) 243-9341

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
57.45 of 100Reported as group
Quality
33.03
Promoting interoperability
0
Improvement activities
40
Cost
75.14

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mana Health Partners PA CurrentSince Mar 26, 2024 Accepting new patients
Careconnectmd Florida P.a. CurrentSince Aug 1, 2024 Accepting new patients

Locations

3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182

991 Pondella Rd
North Ft Myers, FL 33903
Phone (239) 994-8809

1317 Edgewater Dr
Orlando, FL 32804
Phone (877) 436-8527

1507 S Tuttle Ave
Sarasota, FL 34239
Phone (941) 366-0336

15204 W Colonial Dr
Winter Garden, FL 34787
Phone (407) 654-2640

338 Whitesville Rd
Ste 103
Jackson, NJ 08527

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": "1519344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519344000000",
    "number": "1255832424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8715 W MADISON DR",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607142323",
            "telephone_number": "773-350-4756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 N MILWAUKEE AVE STE 2-24",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607143186",
            "telephone_number": "847-825-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HESKIN",
        "first_name": "DIANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-23",
        "last_updated": "2018-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209017052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niles, IL

Sources for this page

Verify at the official NPI Registry.