Individual provider Active NPI

Diane Nutter, NP

  • Family Nurse Practitioner
  • Quincy, IL
National Provider Identifier
1295708113
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
277000736 Issued in IL
Practice address
326 N 24TH St
Quincy, IL 62301-3140
Phone
(217) 223-8400
NPI assigned
Feb 10, 2006
Last updated
Jun 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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 277000736 IL Primary

Addresses

Primary practice location

326 N 24TH St
Quincy, IL 62301-3140

Mailing address

1005 Broadway St
Quincy, IL 62301-2834
Phone (217) 223-8400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IA, IL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20040406001318 MO Practitioner - Nurse Practitioner 7214920107 Reassigns benefits to 1 organization
I20120123000833 IA Practitioner - Nurse Practitioner 7214920107 Reassigns benefits to 1 organization
I20180222002388 IL Practitioner - Nurse Practitioner 7214920107 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blessing HospitalGroup PAC ID 3072422534, 414 clinicians

Practice addresses (Care Compare)

100 Medical Dr
Hannibal, MO 63401-6877
Phone (573) 406-5800

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Blessing Hospital CurrentSince Sep 1, 2018 Accepting new patients
West Central Pathology Specialists, S.C. Current Accepting new patients
Blessing Hospital CurrentSince Feb 1, 2022 Accepting new patients
Quincy Clinical Laboratory Services SC Current Accepting new patients
Blessing Hospital Current Accepting new patients
Ottumwa Health Group LLC CurrentSince Jan 28, 2017 Accepting new patients
Ottumwa Health Group LLC CurrentSince Jan 28, 2017 Accepting new patients
Blessing Hospital CurrentSince Sep 1, 2018 Accepting new patients
Family Medical Center P C Past Accepting new patients
Blessing Corporate Services Inc Past Accepting new patients

Locations

1001 Pennsylvania Ave
Ottumwa, IA 52501
Phone (641) 472-4111

1255 Theatre Dr
Ottumwa, IA 52501
Phone (641) 684-2551

1005 Broadway St
Quincy, IL 62301

1400 Harrison St
Quincy, IL 62301
Phone (217) 214-9696

326 N 24th St
Quincy, IL 62301
Phone (217) 214-6300

3700 Broadway St
Quincy, IL 62305
Phone (217) 224-7555

420 N 34th St
Quincy, IL 62301
Phone (217) 214-9626

927 Broadway St
Ste 121
Quincy, IL 62301

1102 N County Road 700
Warsaw, IL 62379
Phone (217) 256-3800

100 Medical Dr
Hannibal, MO 63401

101 Medical Dr
Hannibal, MO 63401

6000 Hospital Dr
Hannibal, MO 63401
Phone (573) 248-5460

103 E Commercial St
Kahoka, MO 63445
Phone (660) 727-3377

Interoperability endpoints

  • FHIR API: https://fhir.blessinghospital.com/R4/open-Prod

Organizations & group practices 10

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 2

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": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1295708113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 BROADWAY ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623012834",
            "telephone_number": "217-223-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 N 24TH ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623013140",
            "telephone_number": "217-223-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUTTER",
        "first_name": "DIANE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-10",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "277000736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, IL

Sources for this page

Verify at the official NPI Registry.