Active NPI
Dianne E Johnson, FNP
- Family Nurse Practitioner
- Charlottesville, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024164048
- Practice address
- 1215 Lee St
Charlottesville, VA 22908-2821 - Phone
- (434) 924-9400
- NPI assigned
- Feb 22, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN2313205 | MA | |
| Family Nurse Practitioner | 363LF0000X | 0024164048 | VA | Primary |
Addresses
Primary practice location
1215 Lee St
Charlottesville, VA 22908-2821
Mailing address
PO Box 9007
Charlottesville, VA 22906-9007
Phone (434) 295-1000
Other practice location 1
39 Edgerton Dr
North Falmouth, MA 02556-2821
Phone (508) 563-3925
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C06778 | Other | VA | GROUP PTAN |
| 010205115 | Medicaid | VA | |
| C06695 | Other | VA | GROUP PTAN |
Other names 1
- Dianne E Wall
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- George Washington University School of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1215 Lee St
Charlottesville, VA 22908-2325
Phone (434) 924-8129
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.45 of 100
- Quality
- 79.76
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.07
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2313205 | MA | MD | Family Nurse Practitioner |
| 0024164048 | VA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians of Falmouth Hospital | Current | Accepting new patients | |
| Physicians of Cape Cod Hospital | Current | Accepting new patients | |
| University of Virginia Physicians Group | Current | Accepting new patients | |
| Bon Secours-St. Mary'S Hospital of Richmond, Inc. | Past | Accepting new patients | |
| Bon Secours-St. Mary'S Hospital of Richmond, Inc. | Past | Accepting new patients | |
| Bon Secours-St. Mary'S Hospital of Richmond, Inc. | Past | Accepting new patients |
Locations
100 Ter Heun Dr
Falmouth, MA 02540
Phone (508) 457-3501
27 Park St
Hyannis, MA 02601
Phone (508) 775-5011
297 North St
Ste 221
Hyannis, MA 02601
Phone (508) 862-5032
39 Edgerton Dr
North Falmouth, MA 02556
Phone (508) 296-1010
1215 Lee St
Fl 8
Charlottesvle, VA 22908
Phone (434) 924-2500
1215 Lee St
Charlottesvle, VA 22908
Phone (434) 924-0211
5875 Bremo Rd
Ste 209
Richmond, VA 23226
Phone (804) 285-1722
5875 Bremo Rd
Ste 712
Richmond, VA 23226
Phone (804) 285-9416
5875 Bremo Rd
Ste G7
Richmond, VA 23226
Phone (804) 288-8900
Interoperability endpoints
- djohnson622923@direct.healthsystem.virginia.edu
Organizations & group practices 6
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.
-
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Charlottesville, VA
- NPI 1033138250
-
- Neuroradiology Physician
- Hyannis, MA
- NPI 1679832364
-
- Internal Medicine Physician
- Falmouth, MA
- NPI 1821363698
-
- Infectious Disease Physician
- Richmond, VA
- NPI 1063772143
-
- Surgical Oncology Physician
- Richmond, VA
- NPI 1396083721
-
- Gynecologic Oncology Physician
- Richmond, VA
- NPI 1790706737
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Charlottesville, VA
- NPI 1780630608
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712880000000",
"number": "1306811419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9007",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229069007",
"telephone_number": "434-295-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1215 LEE ST",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229082821",
"telephone_number": "434-924-9400"
}
],
"practiceLocations": [
{
"address_1": "39 Edgerton Dr",
"address_purpose": "LOCATION",
"city": "North Falmouth",
"state": "MA",
"postal_code": "025562821",
"country_code": "US",
"telephone_number": "508-563-3925",
"fax_number": "804-287-8525",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "DIANNE",
"middle_name": "E",
"name_prefix": "Ms.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-22",
"last_updated": "2024-04-12",
"certification_date": "2024-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MA",
"license": "RN2313205",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024164048",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP PTAN",
"identifier": "C06778",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010205115",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP PTAN",
"identifier": "C06695",
"state": "VA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DIANNE",
"last_name": "WALL",
"middle_name": "E",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Charlottesville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2024; 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.