Diana Petros, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F08200578 Issued in CA

Practice address

844 Old Tunnel Rd
Grass Valley, CA 95945-8524

Phone

(310) 650-8661

NPI assigned

Aug 31, 2020

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 CA, NV2 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, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Progressive Home Care - Auburn Home health agency, Auburn, CA, CCN 557482
• Advanced Home Health, Inc Home health agency, Sacramento, CA, CCN 058426
• Sierra Nevada Memorial Hospital Hospital, Grass Valley, CA, CCN 050150

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: diana.petros.1@32527.direct.athenahealth.com
• Direct secure messaging: diana.petros@wsmc1.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.

• Albion Medical Partners of California West P C

  • Internal Medicine Physician
  • Cerritos, CA
  • NPI 1073110607

  NV

  Medicare reassignment NPD
• Western Sierra Medical Clinic, Inc.

  • Urgent Care Clinic/Center
  • Downieville, CA
  • NPI 1851513469
  Medicare reassignment NPD
• Neva Marie Monigatti Lake, MD

  • Family Medicine Physician
  • Grass Valley, CA
  • NPI 1265487383
  Medicare reassignment
• Western Sierra Medical Clinic, Inc.

  • Federally Qualified Health Center (FQHC)
  • Grass Valley, CA
  • NPI 1063496396
  NPD
• Western Sierra Medical Clinic, Inc.

  • Federally Qualified Health Center (FQHC)
  • Oregon House, CA
  • NPI 1780463257
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Advanced Home Health Inc

  • Home Health Agency
  • Sacramento, CA
  • NPI 1306069737
  Care Compare affiliation
• Granite Point Partners LLC

  • Home Health Agency
  • Auburn, CA
  • NPI 1396770269
  Care Compare affiliation
• Sierra Nevada Memorial-Miners Hospital

  • General Acute Care Hospital
  • Grass Valley, CA
  • NPI 1659361392
  Care Compare affiliation

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

{
    "created_epoch": "1598832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635897600000",
    "number": "1831703552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14304 BROOKS RD",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959454324",
            "telephone_number": "310-650-8661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "844 OLD TUNNEL RD",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959458524",
            "telephone_number": "310-650-8661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETROS",
        "first_name": "DIANA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-31",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "F08200578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bailey Nicole Peterson, LM, CPM
• Cheryl Lynn Peterson
• Corine Peterson, PHARMD
• Gayle Peterson, LCSW,PHD
• Michael Petrillo
• Cynthia L Pettijohn
• Taylor Petty
• Justin Pfaffinger, DDS
• Robert A Pflegl, PHARMD
• Brendan Phillips, MSW

• Family Nurse Practitioner in Grass Valley, CA
• Providers in Grass Valley, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; 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.