Diane Witkowski

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

R186991 Issued in MD

Practice address

617 W Patrick St
Frederick, MD 21701-4027

Phone

(240) 405-8084

NPI assigned

Oct 23, 2014

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 MD, DC2 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 2

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Blue Sky Mental Health Clinic LLCGroup PAC ID 4284132176, 5 clinicians

Lake Linganore Psychiatry, PLLCGroup PAC ID 5193255248, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Blue Sky Mental Health Clinic LLC

  • Adult Mental Health Clinic/Center
  • Silver Spring, MD
  • NPI 1184204745

  DC

  Medicare reassignment Care Compare group NPD
• Lake Linganore Psychiatry, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Frederick, MD
  • NPI 1720864945
  Medicare reassignment Care Compare group NPD
• Ability & Empowerment Services Inc

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Baltimore, MD
  • NPI 1083304901
  Medicare reassignment

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

{
    "created_epoch": "1414022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749772800000",
    "number": "1720483456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 LARCH AVE",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209125826",
            "telephone_number": "301-270-8316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 W PATRICK ST",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217014027",
            "telephone_number": "240-405-8084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITKOWSKI",
        "first_name": "DIANE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-23",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R186991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wise Mind Behavioral
• Wise Mind Behavioral Health
• Vonshea Wise
• Arlisha Witcher
• Mark Withers, M.D.
• John Vinson Witmer, LCSW-C
• Witting Medical, LLC
• Lydia Elaine Wivell, MS, OTR/L
• Rebecca Wlodarczyk
• Alaina Marie Wodzinski, PH.D.

• Nurse Practitioner in Frederick, MD
• Providers in Frederick, MD by specialty
• Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2025; 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.