Individual provider Active NPI

Dianne G Solis, CNP

  • Family Nurse Practitioner
  • Upper Sandusky, OH
National Provider Identifier
1376544155
Registry record updated Jul 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP-07907 Issued in OH
Practice address
245 Tarhe TRL
Upper Sandusky, OH 43351-8700
Phone
(419) 294-1525
Fax
(419) 209-0252
NPI assigned
Aug 3, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NP-07907 OH
Family Nurse Practitioner 363LF0000X NP-07907 OH Primary

Addresses

Primary practice location

245 Tarhe TRL
Upper Sandusky, OH 43351-8700

Mailing address

885 N Sandusky Ave
Upper Sandusky, OH 43351-1031
Phone (419) 294-4991

Other identifiers 3

IdentifierTypeStateIssuer
000000527473OtherOHANTHEM BCBS
0947033MedicaidOH
2545759MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dsolis800750@direct.mercy.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20041013001304 OH Practitioner - Nurse Practitioner 2163482126 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wyandot Memorial HospitalGroup PAC ID 1557340189, 70 clinicians

Practice addresses (Care Compare)

412 W Saffell Ave
Sycamore, OH 44882-9763
Phone (419) 927-6552

Hospital & facility affiliations

  • Wyandot Memorial Hospital Hospital, Upper Sandusky, OH, CCN 361329
  • Mercy Health - Tiffin Hospital Hospital, Tiffin, OH, CCN 360089
  • James Cancer Hospital & Solove Research Institute Hospital, Columbus, OH, CCN 360242

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP-07907OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wyandot Memorial Hospital CurrentSince Aug 16, 2004 Accepting new patients
Wyandot Memorial Hospital CurrentSince Aug 16, 2004 Accepting new patients
Midwest Emergency Management Ohio, Inc Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Tiffin Emergency Services, LLC Nurse Practitioner Past Accepting new patients
Fort Ball Emergency Physicians LLC Past Accepting new patients
Wyandot Memorial Hospital Past Accepting new patients

Locations

412 W Saffell Ave
Sycamore, OH 44882
Phone (419) 927-6552

45 St Lawrence Dr
Tiffin, OH 44883
Phone (419) 448-1900

245 Tarhe Trl
Upper Sandusky, OH 43351
Phone (419) 294-1525

885 N Sandusky Ave
Upper Sandusky, OH 43351
Phone (419) 294-4991

107 Houpt Dr
Upper Sandusky, OH 43351
Phone (419) 294-5757

423 W Church St
Upper Sandusky, OH 43351
Phone (419) 294-4051

Interoperability endpoints

  • Direct secure messaging: dsolis800750@direct.bsmhealth.org

Organizations & group practices 8

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 3

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": "1123027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657497600000",
    "number": "1376544155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "885 N SANDUSKY AVE",
            "city": "UPPER SANDUSKY",
            "state": "OH",
            "postal_code": "433511031",
            "telephone_number": "419-294-4991",
            "fax_number": "419-294-2233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 TARHE TRL",
            "city": "UPPER SANDUSKY",
            "state": "OH",
            "postal_code": "433518700",
            "telephone_number": "419-294-1525",
            "fax_number": "419-209-0252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLIS",
        "first_name": "DIANNE",
        "middle_name": "G",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-03",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "NP-07907",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "NP-07907",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000527473",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0947033",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2545759",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dsolis800750@direct.mercy.com",
            "affiliation": "N",
            "address_1": "245 Tarhe Trl",
            "city": "Upper Sandusky",
            "state": "OH",
            "country_code": "US",
            "postal_code": "433518700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Upper Sandusky, OH

Sources for this page

Verify at the official NPI Registry.