Individual provider Active NPI

Diana Charlson

  • Family Nurse Practitioner
  • Sheridan, WY
National Provider Identifier
1689129116
Registry record updated Oct 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
27134.1541 Issued in WY
Practice address
61 S Gould St
Sheridan, WY 82801-6304
Phone
(307) 675-2690
NPI assigned
Aug 25, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2025

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 27134.1541 WY Primary

Addresses

Primary practice location

61 S Gould St
Sheridan, WY 82801-6304

Mailing address

1333 W 5TH St Ste 110
Sheridan, WY 82801-2752
Phone (307) 675-2650

Other practice location 1

1333 W 5th St Ste 112
Sheridan, WY 82801-2752
Phone (307) 675-2650

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address diana.charlson@sheridan.cernerdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
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
I20161010002129 WY Practitioner - Nurse Practitioner 0143518092 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Big Horn Health Network 84 clinicians

Practice addresses (Care Compare)

61 S Gould St
Sheridan, WY 82801-6304
Phone (307) 675-2690

Hospital & facility affiliations

  • Sheridan Memorial Hospital Home Care Home health agency, Sheridan, WY, CCN 537038
  • Sheridan Memorial Hospital Hospital, Sheridan, WY, CCN 530006
  • Billings Clinic Hospital Hospital, Billings, MT, CCN 270004

Merit-based Incentive Payment System (MIPS)

Final score
86.66 of 100Reported as group
Quality
82.09
Promoting interoperability
98
Improvement activities
40
Cost
75.1

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1541WYMDPhysical Therapist
27134.1541WYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gastroenterology Associates, LLC PastSince Oct 1, 2019 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: diana.charlson@sheridan.cernerdirect.com

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 10

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": "1472083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760659200000",
    "number": "1689129116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 W 5TH ST STE 110",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828012752",
            "telephone_number": "307-675-2650",
            "fax_number": "307-675-2651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 S GOULD ST",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828016304",
            "telephone_number": "307-675-2690"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1333 W 5th St Ste 112",
            "address_purpose": "LOCATION",
            "city": "Sheridan",
            "state": "WY",
            "postal_code": "828012752",
            "country_code": "US",
            "telephone_number": "307-675-2650",
            "fax_number": "307-675-2651",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHARLSON",
        "first_name": "DIANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-25",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WY",
            "license": "27134.1541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "diana.charlson@sheridan.cernerdirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "61 S Gould St",
            "city": "Sheridan",
            "state": "WY",
            "country_code": "US",
            "postal_code": "828016304",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sheridan, WY

Sources for this page

Verify at the official NPI Registry.