Nancy Diffenbacher, CNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

APRN.CNP.02802 Issued in OH

Practice address

23425 Commerce Park
Beachwood, OH 44122-5844

Phone

(216) 831-2900

NPI assigned

Mar 29, 2007

Last updated

Feb 18, 2025By 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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Debalzo Elgudin Levine Risen LLC

  • Psychiatry Physician
  • Beachwood, OH
  • NPI 1396286191
  NPD

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1447379359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 MARLOWE AVE",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441074320",
            "telephone_number": "216-226-4957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23425 COMMERCE PARK",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225844",
            "telephone_number": "216-831-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIFFENBACHER",
        "first_name": "NANCY",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.02802",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "166572",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2204831",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diamonds & Pearls Residential Care Homes Inc
• Joy Liana Diaz, MFT-TRAINEE
• Chris A Dicarlo
• Latifa Dickerson Bradley
• Sarah Elizabeth Dietrich, LISW
• Thomas Anthony Difranco, PH.D.
• Digestive Health, Inc
• Digestive Health, Inc
• Caleb L Dille, DPT
• Andrew J. Diller, DPM

• Psychiatric/Mental Health Nurse Practitioner in Beachwood, OH
• Providers in Beachwood, OH by specialty
• Psychiatric/Mental Health Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.