Katherine A Diconzo, APRN-CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

CNP181035 Issued in ME

Practice address

335 Brighton Ave
Portland, ME 04102

Phone

(207) 775-4000

NPI assigned

Mar 19, 2018

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

Medicare fee-for-service enrollment

Enrolled in ME

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rehabilitation Associates PCGroup PAC ID 2466743992, 14 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• New England Rehabilitation Hospital of Portland, a Inpatient rehabilitation facility, Portland, ME, CCN 203025

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.

• Rehabilitation Associates PC

  • Physical Medicine & Rehabilitation Physician
  • Portland, ME
  • NPI 1629430087
  Medicare reassignment Care Compare group NPD
• Pai Participant 7 PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Falmouth, ME
  • NPI 1548829872
  Medicare reassignment NPD

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

• New England Rehabilitation Hospital of Portland, LLC

  • Rehabilitation Hospital
  • Portland, ME
  • NPI 1194799023

  Inpatient rehabilitation facility

  Care Compare affiliation

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

{
    "created_epoch": "1521417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521417600000",
    "number": "1700380466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1849",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042411849",
            "telephone_number": "207-784-2554",
            "fax_number": "207-777-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 BRIGHTON AVE",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "04102",
            "telephone_number": "207-775-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICONZO",
        "first_name": "KATHERINE",
        "middle_name": "A",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-19",
        "last_updated": "2018-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "CNP181035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eli Reece Dibner-Dunlap
• Wendy Dibrigida, OTR
• Diane Dickinson, M.D.
• David W Dickison, D.O.
• Diane Diconzo-Fanning, RN
• Shayna Christine Diedrich-Pugh, ACNP
• Hannah Elizabeth Dietz, DACM, LAC
• Pamela M Dietz, MD
• James Joseph Difilippo, DMD
• Lenore Susan Difiore, DC

• Family Nurse Practitioner in Portland, ME
• Providers in Portland, ME by specialty
• Family Nurse Practitioner in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.