Diane Michelle Anderson, APN
Individual provider Active NPI Adult Health Nurse Practitioner · Hackensack, NJ
NPI 1861759474 · NPPES record last updated Apr 19, 2012
Key facts
- NPI
- 1861759474
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- 26NJ00370800 (NJ)
- Practice address
- 30 Prospect Ave
Hackensack, NJ 07601-1914 - Phone
- (201) 996-2218
- NPI assigned
- Apr 19, 2012
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.33 of 100
- Quality
- 66.38
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.39
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190618000191 | NJ | Practitioner - Nurse Practitioner | 7719277961 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hackensack Meridian Health Medical Group - Primary Care PC | Current |
Accepting new patients | |
| Hackensack Meridian Health Medical Group - Specialty Care PC | Current |
Accepting new patients | |
| Hackensack Meridian Health Medical Group - Specialty Care PC | Current |
Accepting new patients | |
| Meridian Medical Group - Specialty Care, PC | Past | Accepting new patients |
Locations
985 Cedar Bridge Ave
Brick, NJ 08723
Phone (732) 477-5600
30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066
300 Perrine Rd
Ste 324
Old Bridge, NJ 08857
Phone (732) 753-9890
Interoperability endpoints
- diane.anderson@direct.hackensackmeridian.org
- https://mepic.hmhn.org/fhir/api/FHIR/R4/
- https://fhir4.healow.com/fhir/r4/IHJHBD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 26NJ00370800 | NJ | Yes |
Addresses
Primary practice location
30 Prospect Ave
Hackensack, NJ 07601-1914
Mailing address
978 Belle Ave
Teaneck, NJ 07666-2613
Phone (201) 370-4401
Other names
- Prof. Diane Michelle Anderson
Other providers in Hackensack, NJ
- Jaladurga Prabhakararao Amuluru
- Oladipo Olatunmbosun Amusan
- Nishat Ananya
- Natalia Anchipolovsky
- Anderson Dental Center Hackensack LLC
- Marques Anderson
- Andrew Fink M.D., P.C.
- Andrew H the, MD, LLC
- Jessica M Androsiglio
- Andrea N Anfuso Sisto
All providers in Hackensack, NJ · Adult Health Nurse Practitioner in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 19, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.