Dustin Diller

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

71006224A Issued in IN

Practice address

11141 Parkview Plaza Dr Ste 210
Fort Wayne, IN 46845

Phone

(260) 266-5400

Fax

(260) 266-5409

NPI assigned

Apr 11, 2016

Last updated

Oct 3, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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 IN

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dustin.diller.1@31786.direct.athenahealth.com

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.

• Integrative Health LLC

  • Adult Medicine Physician
  • Fort Wayne, IN
  • NPI 1821669854
  Medicare reassignment NPD
• The Chiropractic Rehabilitation and Wellness Center, Inc

  • Rehabilitation Chiropractor
  • Fort Wayne, IN
  • NPI 1174714448
  NPD
• Empower Wellness Center, LLC

  dba Empower Wellness Center

  • Family Nurse Practitioner
  • Fort Wayne, IN
  • NPI 1477390128
  NPD (past)
• Extended Care Specialists, Inc

  • Family Medicine Physician
  • Fort Wayne, IN
  • NPI 1669873733

  Nurse Practitioner

  NPD (past)

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

{
    "created_epoch": "1460332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538524800000",
    "number": "1467816934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3702 NEW VISION DR BLDG B",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468451703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11141 PARKVIEW PLAZA DR STE 210",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "46845",
            "telephone_number": "260-266-5400",
            "fax_number": "260-266-5409"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3512 Stellhorn Rd",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468154631",
            "country_code": "US",
            "telephone_number": "260-483-9081 x22",
            "fax_number": "260-483-9196",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DILLER",
        "first_name": "DUSTIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-11",
        "last_updated": "2018-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71006224A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlin Ann Digan
• Alicia Jean Digiulio, MA, MSED, LMHC
• Rene Francis Carreon Dilag, MD
• Tamara Dawn Dilan
• John Diles
• Rebekah Diller
• Zachary E Dillon
• Sheryl Ann Altamirano Dimayuga, M.D.
• Dina Care Medical Transportation
• Xiqiao Ding

• Nurse Practitioner in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2018; 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.