Individual provider Active NPI

Diane C Meyer, FNP-BC

  • Family Nurse Practitioner
  • Norfolk, NE
National Provider Identifier
1780903476
Registry record updated Apr 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
111332 Issued in NE
Practice address
110 N 29TH St
Ste 201
Norfolk, NE 68701-4424
Phone
(402) 844-8121
Fax
(402) 844-8122
NPI assigned
May 20, 2010
Last updated
Apr 13, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 500-4645 NC
Family Nurse Practitioner 363LF0000X 111332 NE Primary

Addresses

Primary practice location

110 N 29TH St
Ste 201
Norfolk, NE 68701-4424

Mailing address

2700 W Norfolk Ave
Norfolk, NE 68701-4438
Phone (402) 371-4880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20120605000458 NE Practitioner - Nurse Practitioner 2264563105 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Faith Regional Physician Services LLCGroup PAC ID 5193786168, 194 clinicians

Practice addresses (Care Compare)

615 E 14TH St
FRPS Wayne Family Medicine
Wayne, NE 68787-1152
Phone (402) 375-2500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
500-4645NCMDFamily Nurse Practitioner
111332NEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Faith Regional Health Services CurrentSince May 8, 2012 Accepting new patients
Faith Regional Health Services CurrentSince May 8, 2012 Accepting new patients
Cabarrus Emergency Medicine Associates, P.a. Past Accepting new patients
A Woman's View PA Past Accepting new patients

Locations

2700 W Norfolk Ave
Norfolk, NE 68701
Phone (402) 644-7131

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1274313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334275200000",
    "number": "1780903476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 W NORFOLK AVE",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687014438",
            "telephone_number": "402-371-4880",
            "fax_number": "402-644-7503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 N 29TH ST",
            "address_2": "STE 201",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687014424",
            "telephone_number": "402-844-8121",
            "fax_number": "402-844-8122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYER",
        "first_name": "DIANE",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-20",
        "last_updated": "2012-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "500-4645",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "111332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, NE

Sources for this page

Verify at the official NPI Registry.