Individual provider Active NPI

Diane Nicole Shilling, ARNP

  • Family Nurse Practitioner
  • Virginia Beach, VA
National Provider Identifier
1609236850
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9266308 Issued in FL
Practice address
249 Central Park Ave
Virginia Beach, VA 23462-3099
Phone
(877) 267-4253
Fax
(877) 395-9003
NPI assigned
Mar 1, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9266308 FL Primary

Addresses

Primary practice location

249 Central Park Ave
Virginia Beach, VA 23462-3099

Mailing address

249 Central Park Ave Ste 300
Virginia Beach, VA 23462-3271
Phone (877) 267-4253

Other practice location 1

1001 South Andrews Avenue
Suite 100
Ft. Lauderdale, FL 33316
Phone (954) 906-6000

Other names 1

  • Ms. Diane Nicole Gibson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, PA, TN, VA, NC, AZ, OH7 enrollments
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 7

Enrollment IDStateProvider typePAC IDDetails
I20191210000230 FL Practitioner - Nurse Practitioner 7416380209 Reassigns benefits to 2 organizations
I20250221001284 PA Practitioner - Nurse Practitioner 7416380209 Reassigns benefits to 1 organization
I20250227000805 TN Practitioner - Nurse Practitioner 7416380209 Reassigns benefits to 1 organization
I20250312000083 VA Practitioner - Nurse Practitioner 7416380209 Reassigns benefits to 2 organizations
I20250312000112 NC Practitioner - Nurse Practitioner 7416380209 Reassigns benefits to 1 organization
I20260212004460 AZ Practitioner - Nurse Practitioner 7416380209 Reassigns benefits to 1 organization
I20260302002640 OH Practitioner - Nurse Practitioner 7416380209 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ansible Health Medical Group PAGroup PAC ID 2769831353, 5 clinicians

Practice addresses (Care Compare)

1141 E Glendale Ave
Phoenix, AZ 85020-5316
Phone (877) 267-4243

249 Central Park Ave
Suite 300
Virginia Beach, VA 23462-3271
Phone (877) 267-4253

322 Lamar Ave
Suite 107
Charlotte, NC 28204-2436
Phone (877) 267-4253

470 W Broad St
Columbus, OH 43215-2759
Phone (877) 267-4253

6111 Shallowford Rd
Suite 105D
Chattanooga, TN 37421-7800
Phone (877) 267-4253

7402 N 56TH St
Suite 355
Tampa, FL 33617-7700
Phone (877) 267-4253

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9266308FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jean Jacques Rajter, M.D.,P.a. CurrentSince Nov 25, 2019 Accepting new patients
Ansible Health Medical Group PA CurrentSince Feb 1, 2025 Accepting new patients
Ansible Professionals LLC CurrentSince Feb 1, 2025 Accepting new patients

Locations

1141 E Glendale Ave
Phoenix, AZ 85020
Phone (801) 448-7385

1032 E Brandon Blvd
Brandon, FL 33511
Phone (305) 203-2853

1001 S Andrews Ave
Ste 100
Ft Lauderdale, FL 33316
Phone (954) 906-6000

7402 N 56th St
Ste 355
Tampa, FL 33617
Phone (813) 686-6947

322 Lamar Ave
Ste 107
Charlotte, NC 28204
Phone (704) 251-7072

470 W Broad St
Columbus, OH 43215
Phone (614) 697-1454

210 W Grant St
Ste 109
Lancaster, PA 17603

6111 Shallowford Rd
Ste 105D
Chattanooga, TN 37421
Phone (918) 742-0400

249 Central Park Ave
Ste 300
Virginia Beach, VA 23462
Phone (540) 529-8616

249 Central Park Ave
Ste 30055
Virginia Beach, VA 23462
Phone (718) 577-2338

Interoperability endpoints

  • Direct secure messaging: diane.shilling.1@25005.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/25005/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1456790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1609236850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 CENTRAL PARK AVE STE 300",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234623271",
            "telephone_number": "877-267-4253",
            "fax_number": "877-395-9003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 CENTRAL PARK AVE",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234623099",
            "telephone_number": "877-267-4253",
            "fax_number": "877-395-9003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 South Andrews Avenue",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Ft. Lauderdale",
            "state": "FL",
            "postal_code": "33316",
            "country_code": "US",
            "telephone_number": "954-906-6000",
            "fax_number": "954-860-7650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHILLING",
        "first_name": "DIANE",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-01",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9266308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANE",
            "last_name": "GIBSON",
            "middle_name": "NICOLE",
            "prefix": "MS.",
            "credential": "ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.