Individual provider Active NPI

Diane Linda Wren, FNP-BC

  • Family Nurse Practitioner
  • Scottsdale, AZ
National Provider Identifier
1811069628
Registry record updated Apr 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP2193 Issued in AZ
Practice address
7609 E Pinnacle Peak Rd
Suite C-9
Scottsdale, AZ 85255-3415
Phone
(480) 585-0095
Fax
(480) 585-0185
NPI assigned
Nov 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2015

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 RN132776 AZ
Family Nurse Practitioner 363LF0000X AP2193 AZ Primary

Addresses

Primary practice location

7609 E Pinnacle Peak Rd
Suite C-9
Scottsdale, AZ 85255-3415

Mailing address

42104 N Venture Dr
Suite D118
Anthem, AZ 85086-3823
Phone (623) 505-6565

Other identifiers 1

IdentifierTypeStateIssuer
002057MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20060405000119 AZ Practitioner - Nurse Practitioner 3577521202 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Alliance Medical Clinic LLCGroup PAC ID 1557374931, 7 clinicians

Practice addresses (Care Compare)

42104 N Venture Dr
D118
Anthem, AZ 85086-3837

Hospital & facility affiliations

  • Honorhealth Deer Valley Medical Center Hospital, Phoenix, AZ, CCN 030092
  • Honor Health John C. Lincoln Medical Center Hospital, Phoenix, AZ, CCN 030014

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Medical Clinic, LLC Family CurrentSince May 1, 2009 Accepting new patients
Nextcare Arizona LLC CurrentSince Feb 4, 2012 Accepting new patients
H. Allen Hooper, M.D. a Professional Corporation Past Accepting new patients
Panda Medical Associates, LLC Past Accepting new patients
CMG Care Today - Pinnacle Peak Past Accepting new patients

Locations

2080 W Southern Ave
Bldg A1
Apache Junction, AZ 85120
Phone (480) 985-0172

13075 W McDowell Rd
Ste D106
Avondale, AZ 85392
Phone (623) 547-0522

450 S Willard St
Ste 120
Cottonwood, AZ 86326
Phone (928) 634-2574

10240 N 43rd Ave
Ste 3
Glendale, AZ 85302
Phone (623) 742-2060

4401 E McKellips Rd
Ste 102
Mesa, AZ 85215
Phone (480) 550-8204

1066 N Power Rd
Ste 101
Mesa, AZ 85205
Phone (480) 807-0130

2735 W Union Hills Dr
Ste 103
Phoenix, AZ 85027

1701 E Thomas Rd
Ste A104
Phoenix, AZ 85016
Phone (602) 845-4445

42104 N Venture Dr
Ste D118
Phoenix, AZ 85086
Phone (623) 505-4479

20950 N Tatum Blvd
Ste 190
Phoenix, AZ 85050
Phone (480) 476-0021

5920 W McDowell Rd
Phoenix, AZ 85035
Phone (480) 455-2235

7425 E Shea Blvd
Ste 108
Scottsdale, AZ 85260
Phone (480) 348-1060

914 N Scottsdale Rd
Ste 104
Tempe, AZ 85288
Phone (480) 776-1620

4280 N Oracle Rd
Ste 100
Tucson, AZ 85705
Phone (520) 887-0095

5369 S Calle Santa Cruz
Ste 145
Tucson, AZ 85706
Phone (520) 573-7500

6238 E Pima St
Tucson, AZ 85712
Phone (520) 290-0022

9525 E Old Spanish Trl
Ste 101
Tucson, AZ 85748
Phone (520) 731-3666

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8857/brand/1/csg/1/fhir/r4
  • Direct secure messaging: diane.wren.1@8857.direct.athenahealth.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/HIHJCA

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430352000000",
    "number": "1811069628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42104 N VENTURE DR",
            "address_2": "SUITE D118",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850863823",
            "telephone_number": "623-505-6565",
            "fax_number": "623-551-5567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7609 E PINNACLE PEAK RD",
            "address_2": "SUITE C-9",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852553415",
            "telephone_number": "480-585-0095",
            "fax_number": "480-585-0185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WREN",
        "first_name": "DIANE",
        "middle_name": "LINDA",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2015-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "RN132776",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP2193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002057",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.