Diane Lynn Kocovsky, APRN

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

110623 Issued in NE

Practice address

14080 Hospital Rd
Boys Town, NE 68010-7513

Phone

(402) 778-6900

Fax

(402) 778-6917

NPI assigned

Dec 26, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Ms. Diane L Ingamells Former name

Medicare fee-for-service enrollment

Enrolled in NE

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

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.

• Father Flanagan's Boys' Home

  dba Boys Town Professional Services

  • Pediatrics Physician
  • Omaha, NE
  • NPI 1295821825
  Medicare reassignment NPD
• Children's Hospital & Medical Center

  dba Children's Nebraska

  • Children's Hospital
  • Omaha, NE
  • NPI 1346297843
  NPD (past)
• ENT Services PC

  • Otolaryngology Physician
  • Omaha, NE
  • NPI 1194822130
  NPD (past)
• Father Flanagan's Boys' Home

  dba Boys Town Imaging Center

  • Radiology Clinic/Center
  • Omaha, NE
  • NPI 1528165644
  NPD (past)

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360800000000",
    "number": "1669537056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 N 30TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681312136",
            "telephone_number": "402-498-6509",
            "fax_number": "402-498-6357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14080 HOSPITAL RD",
            "city": "BOYS TOWN",
            "state": "NE",
            "postal_code": "680107513",
            "telephone_number": "402-778-6900",
            "fax_number": "402-778-6917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCOVSKY",
        "first_name": "DIANE",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-26",
        "last_updated": "2013-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NE",
            "license": "110623",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100253323-00",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "38843",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANE",
            "last_name": "INGAMELLS",
            "middle_name": "L",
            "prefix": "MS.",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Oliver George Johnston, MS
• Caitlin Jordan, DNP APRN CPNP- AC/PC
• Monica Maria Kelly, M.D.
• Melissa Kerr, APRN
• Steven M Koch, PHD, LP
• Edward M Kolb, M.D.
• Thomas Koza
• Myra Ann Kraemer, AUD
• Melissa S Kula, LMHP
• Sharad D Kunnath, MD

• Pediatric Nurse Practitioner in Boys Town, NE
• Providers in Boys Town, NE by specialty
• Pediatric Nurse Practitioner in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2013; 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.