NPIMap

Individual provider Active NPI

Diane Marie Hoover, CRNP

  • Gerontology Nurse Practitioner
  • Clearfield, PA
National Provider Identifier
1255832507
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
SP018633 Issued in PA
Practice address
195 Flegal Rd
Clearfield, PA 16830-7204
Phone
(814) 205-4336
Fax
(814) 318-1300
NPI assigned
Feb 22, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X SP018633 PA Primary

Addresses

Primary practice location

195 Flegal Rd
Clearfield, PA 16830-7204

Mailing address

PO Box 1404
Clearfield, PA 16830-5404
Phone (814) 205-4336

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180629000682 PA Practitioner - Nurse Practitioner 7911253273 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians

Practice addresses (Care Compare)

195 Flegal Rd
Clearfield, PA 16830-7204
Phone (814) 205-4336

2000 Westinghouse Dr
Cranberry Township, PA 16066-5238

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
SP018633PAMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Patient Centered Health Gerontology CurrentSince Oct 12, 2023 Accepting new patients
Personal Care Medical Associates LLC CurrentSince Oct 7, 2022 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince May 25, 2024 Accepting new patients

Locations

195 Flegal Rd
Clearfield, PA 16830
Phone (814) 205-4336

600 N 2nd St
Ste 401
Harrisburg, PA 17101
Phone (844) 341-2339

2000 Cliffmine Rd
Ste 500
Pittsburgh, PA 15275
Phone (724) 766-0025

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 4

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.

Hospital & facility affiliations 29

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1519257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1255832507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1404",
            "city": "CLEARFIELD",
            "state": "PA",
            "postal_code": "168305404",
            "telephone_number": "814-205-4336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 FLEGAL RD",
            "city": "CLEARFIELD",
            "state": "PA",
            "postal_code": "168307204",
            "telephone_number": "814-205-4336",
            "fax_number": "814-318-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOOVER",
        "first_name": "DIANE",
        "middle_name": "MARIE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-22",
        "last_updated": "2023-11-03",
        "certification_date": "2023-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "PA",
            "license": "SP018633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearfield, PA

Sources for this page

Verify at the official NPI Registry.