Individual provider Active NPI

Diana Beth Hannoch-Bowie, A.P.N

  • Adult Health Nurse Practitioner
  • Hamburg, NJ
National Provider Identifier
1679560494
Registry record updated Feb 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
26NN09766200 Issued in NJ
Practice address
17 Route 23 North
Suite 103
Hamburg, NJ 07419
Phone
(973) 827-7800
Fax
(973) 209-7855
NPI assigned
Oct 6, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NN09766200 NJ
Adult Health Nurse Practitioner 363LA2200X 26NN09766200 NJ Primary

Addresses

Primary practice location

17 Route 23 North
Suite 103
Hamburg, NJ 07419

Mailing address

PO Box 95000 LB# 7550
Philadelphia, PA 19195-7550
Phone (844) 362-1735

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20090629000408 NJ Practitioner - Nurse Practitioner 6800947086 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primary Care Partners LLCGroup PAC ID 2860665809, 74 clinicians

Practice addresses (Care Compare)

475 S St
Morristown, NJ 07960-6459
Phone (973) 971-5000

Hospital & facility affiliations

  • Atlantic Visiting Nurse Home health agency, Morristown, NJ, CCN 317054
  • Newton Medical Center Hospital, Newton, NJ, CCN 310028
  • Morristown Medical Center Hospital, Morristown, NJ, CCN 310015
  • Chilton Medical Center Hospital, Pompton Plains, NJ, CCN 310017
  • Kessler Rehab Center Inpatient rehabilitation facility, West Orange, NJ, CCN 313025

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NN09766200NJMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care Partners, LLC CurrentSince Apr 1, 2012 Accepting new patients
Primary Care Partners, LLC Nurse Practitioner CurrentSince Apr 1, 2012 Accepting new patients
Primary Care Partners LLC Past Accepting new patients

Locations

17 State Rt 23 N
Hamburg, NJ 07419
Phone (973) 827-7800

17 State Rt 23 N
Ste 103
Hamburg, NJ 07419
Phone (973) 827-7800

475 South St
Morristown, NJ 07960
Phone (973) 660-3166

465 South St
Ste 200
Morristown, NJ 07960
Phone (973) 971-7130

123 State Rt 94
Vernon, NJ 07462

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 and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518393600000",
    "number": "1679560494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95000 LB# 7550",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191957550",
            "telephone_number": "844-362-1735",
            "fax_number": "973-290-7495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 ROUTE 23 NORTH",
            "address_2": "SUITE 103",
            "city": "HAMBURG",
            "state": "NJ",
            "postal_code": "07419",
            "telephone_number": "973-827-7800",
            "fax_number": "973-209-7855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNOCH-BOWIE",
        "first_name": "DIANA",
        "middle_name": "BETH",
        "name_prefix": "Ms.",
        "credential": "A.P.N",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-06",
        "last_updated": "2018-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "NN09766200",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NN09766200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamburg, NJ

Sources for this page

Verify at the official NPI Registry.