Individual provider Active NPI

Dianne Elizabeth Doane-Bustetter, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Citrus Hills, FL
National Provider Identifier
1790218501
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN9302481 Issued in FL
Practice address
2440 N Essex Ave
Citrus Hills, FL 34442-5320
Phone
(352) 558-8054
Fax
(352) 218-8485
NPI assigned
Apr 7, 2017
Last updated
Jun 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN9302481 FL Primary

Addresses

Primary practice location

2440 N Essex Ave
Citrus Hills, FL 34442-5320

Mailing address

4529 W Sanction Rd
Lecanto, FL 34461-7623
Phone (352) 558-8054

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20170712001265 FL Practitioner - Nurse Practitioner 6204105976 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4529 W Sanction Rd
Lecanto, FL 34461-7623
Phone (352) 388-3401

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN9302481FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MCR Health, Inc. Family CurrentSince Sep 1, 2020 Accepting new patients
Balanced Wellbeing LLC CurrentSince Dec 13, 2019 Accepting new patients
Impact Counseling and Consulting LLC Mental Health CurrentSince Aug 15, 2021 Accepting new patients
Impact Counseling and Consulting LLC Mental Health Current Accepting new patients
Strive Mental Health LLC Psychiatric/Mental Health CurrentSince Aug 1, 2022 Accepting new patients
Inpatient Care Specialists LLC CurrentSince Mar 8, 2018 Accepting new patients
MCR Health, Inc. CurrentSince Sep 1, 2020 Accepting new patients
Florida Health Care LLC CurrentSince Mar 8, 2018 Accepting new patients
Curelogics Wound Care and Hyperbaric LLC CurrentSince Nov 26, 2018 Accepting new patients

Locations

725 N 12th Ave
#B
Arcadia, FL 34266
Phone (863) 494-1242

3404 N Lecanto Hwy
Ste D
Beverly Hills, FL 34465
Phone (352) 419-4856

2440 N Essex Ave
Hernando, FL 34442
Phone (352) 558-8054

110 S Apopka Ave
Inverness, FL 34452
Phone (352) 419-4856

502 W Highland Blvd
Inverness, FL 34452
Phone (352) 344-6481

809 Highway 466
Ste 201C
Lady Lake, FL 32159

525 Technology Park
Ste 109
Lake Mary, FL 32746
Phone 4076472346 ext. 111

3200 SW 34th Ave
Ste 701
Ocala, FL 34474
Phone (354) 445-1200

12271 US Highway 301 N
Parrish, FL 34219
Phone (941) 713-2231

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1491523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1790218501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4529 W SANCTION RD",
            "city": "LECANTO",
            "state": "FL",
            "postal_code": "344617623",
            "telephone_number": "352-558-8054",
            "fax_number": "352-218-8485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 N ESSEX AVE",
            "city": "CITRUS HILLS",
            "state": "FL",
            "postal_code": "344425320",
            "telephone_number": "352-558-8054",
            "fax_number": "352-218-8485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOANE-BUSTETTER",
        "first_name": "DIANNE",
        "middle_name": "ELIZABETH",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-07",
        "last_updated": "2023-06-22",
        "certification_date": "2023-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN9302481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Citrus Hills, FL

Sources for this page

Verify at the official NPI Registry.