Diane Gellermann, ARNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

9230757 Issued in FL

Practice address

4645 Clyde Morris Blvd Ste 408
Port Orange, FL 32129-3005

Phone

(386) 295-6601

Fax

(386) 492-1174

NPI assigned

Feb 10, 2016

Last updated

Mar 29, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Halifax Healthcare Systems IncGroup PAC ID 1254238090, 345 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Halifax Health Medical Center Hospital, Daytona Beach, FL, CCN 100017

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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.

• Halifax Healthcare Systems Inc

  dba HHCSI Halifax Family Health Center

  • Family Medicine Physician
  • Daytona Beach, FL
  • NPI 1245283530
  Medicare reassignment Care Compare group NPD
• Volusia Renal Consultants LLC

  • Nephrology Physician
  • Port Orange, FL
  • NPI 1336479781
  Medicare reassignment NPD
• Gerald R Woodard DO PA

  dba Shores Medical Center

  • Family Medicine Physician
  • Daytona Beach Shores, FL
  • NPI 1114111440
  Medicare reassignment

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

• Halifax Hospital Medical Center

  dba Halifax Medical Center

  • General Acute Care Hospital
  • Daytona Beach, FL
  • NPI 1811991227
  Care Compare affiliation

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

{
    "created_epoch": "1455062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1265891816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4645 CLYDE MORRIS BLVD STE 408",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321293005",
            "telephone_number": "386-690-5343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4645 CLYDE MORRIS BLVD STE 408",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321293005",
            "telephone_number": "386-295-6601",
            "fax_number": "386-492-1174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GELLERMANN",
        "first_name": "DIANE",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-10",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "9230757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Gatlin
• Jessie Gauld
• Autumn Gaylor
• GD Chiropractic and Massage LLC
• Qing Ge, M.D., PH.D.
• Jordan Genovese
• Jacqueline Gentile
• Nicole Gerardi
• Kate Gerlach
• Alison Lynn Gettman, ARNP

• Nurse Practitioner in Port Orange, FL
• Providers in Port Orange, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; 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.