Dianne Lynne Pettis

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP011635 Issued in PA

Practice address

355 Lincoln Ave
Bellevue, PA 15202-3755

Phone

(412) 761-3000

NPI assigned

Aug 26, 2008

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 names 1

• Dianne Lynne Walker Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PA

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

Credentials

Nurse Practitioner

Practice roles

Interoperability endpoints

• Direct secure messaging: dianne.pettis@cvshealth.com
• Direct secure messaging: dianne.pettis@p1h.eclinicaldirectplus.com

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.

• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  PA

  Medicare reassignment
• Mvhe Inc

  • Internal Medicine Physician
  • Middletown, OH
  • NPI 1497154827
  NPD (past)
• Osama Al-Samkari M.D. Inc

  • Clinic/Center
  • Dayton, OH
  • NPI 1083953103
  NPD (past)

Merit-based Incentive Payment System (MIPS)

Final score

83.44 of 100Reported as group

Quality

78.68

Improvement activities

40

Cost

83.9

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

{
    "created_epoch": "1219708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671408000000",
    "number": "1730336348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 LINCOLN AVE",
            "city": "BELLEVUE",
            "state": "PA",
            "postal_code": "152023755",
            "telephone_number": "412-761-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 LINCOLN AVE",
            "city": "BELLEVUE",
            "state": "PA",
            "postal_code": "152023755",
            "telephone_number": "412-761-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTIS",
        "first_name": "DIANNE",
        "middle_name": "LYNNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-26",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP011635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Dianne.Pettis@CVShealth.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "355 Lincoln Ave",
            "city": "Bellevue",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152023755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "DIANNE",
            "last_name": "WALKER",
            "middle_name": "LYNNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Martin Elkanah Omukhango, FNP-BC
• Optometric Care, Inc
• Pennsylvania CVS Pharmacy LLC
• Jocelyn G Perkins, LPC
• Alysa Lynn Petrik, NP
• Pittsburgh North Cardiology Assoc
• Pittsburgh Regional Chiropractic Center
• Proof in Progress Inc
• Ronald Rager, M.D., M.P.H.
• Srividya Ravishankar, M.S. SPEECH/LANGUAGE

• All providers in Bellevue, PA
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; 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.