Individual provider Active NPI

Diane Esther Trotter, FNP

  • Family Nurse Practitioner
  • Sahuarita, AZ
National Provider Identifier
1508108671
Registry record updated Jan 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
239983 Issued in AZ
Practice address
15920 S Rancho Sahuarita Blvd Ste 120
Sahuarita, AZ 85629-8013
Phone
(520) 575-1175
NPI assigned
Mar 26, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209010310 IL
Family Nurse Practitioner 363LF0000X 239983 AZ Primary

Addresses

Primary practice location

15920 S Rancho Sahuarita Blvd Ste 120
Sahuarita, AZ 85629-8013

Mailing address

15920 S Rancho Sahuarita Blvd Ste 120
Sahuarita, AZ 85629-8013
Phone (520) 575-1175

Other practice location 1

3331 W DeYoung St
Marion, IL 62959-5896
Phone (618) 993-0475

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address diane.trotter.1@1576.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20200722001920 AZ Practitioner - Nurse Practitioner 3971745357 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
87.82 of 100Reported as group
Quality
72.99
Improvement activities
40
Cost
75.6

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209010310ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Preferred Podiatry Group PC CurrentSince Mar 6, 2023 Accepting new patients
River to River Heart Group, LLC Past Accepting new patients

Locations

1650 N Santa Rosa Ave
Tucson, AZ 85712
Phone (520) 795-1610

Interoperability endpoints

  • Direct secure messaging: diane.trotter.1@1576.direct.athenahealth.com
  • Direct secure messaging: dejohnson@yourcarecommunity.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1364256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611619200000",
    "number": "1508108671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15920 S RANCHO SAHUARITA BLVD STE 120",
            "city": "SAHUARITA",
            "state": "AZ",
            "postal_code": "856298013",
            "telephone_number": "520-575-1175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15920 S RANCHO SAHUARITA BLVD STE 120",
            "city": "SAHUARITA",
            "state": "AZ",
            "postal_code": "856298013",
            "telephone_number": "520-575-1175"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3331 W DeYoung St",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "IL",
            "postal_code": "629595896",
            "country_code": "US",
            "telephone_number": "618-993-0475",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TROTTER",
        "first_name": "DIANE",
        "middle_name": "ESTHER",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-26",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209010310",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "239983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "diane.trotter.1@1576.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR Direct Address",
            "address_1": "15920 S Rancho Sahuarita Blvd Ste 120",
            "city": "Sahuarita",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "856298013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sahuarita, AZ

Sources for this page

Verify at the official NPI Registry.