Individual provider Active NPI

Dianne Marie Okonsky, ARNP

  • Family Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1881674505
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP3219652 Issued in FL
Practice address
10902 Dylan Loren Cir
Orlando, FL 32825-7739
Phone
(407) 380-7966
Fax
(407) 380-7988
NPI assigned
Jan 19, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP3219652 FL Primary

Addresses

Primary practice location

10902 Dylan Loren Cir
Orlando, FL 32825-7739

Mailing address

3783 Cassia Dr
Orlando, FL 32828-7739
Phone (407) 282-4554

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
I20040107000218 FL Practitioner - Nurse Practitioner 3678472826 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emerald Coast Oncology and Hematology Assoc., P.a.Group PAC ID 2163557760, 8 clinicians

Practice addresses (Care Compare)

1024 Mar Walt Dr
Fort Walton Beach, FL 32547-6645
Phone (850) 863-3148

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.12 of 100Reported as group
Quality
70.14
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP3219652FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emerald Coast Oncology and Hematology Assoc., P.a. CurrentSince Jun 13, 2023 Accepting new patients
Woodland Lakes Family Practice PA Past Accepting new patients
Richard S Bragg MD PA Past Accepting new patients

Locations

1024 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 863-3148

Organizations & group practices 3

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 5

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": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881674505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3783 CASSIA DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328287739",
            "telephone_number": "407-282-4554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10902 DYLAN LOREN CIR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328257739",
            "telephone_number": "407-380-7966",
            "fax_number": "407-380-7988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKONSKY",
        "first_name": "DIANNE",
        "middle_name": "MARIE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP3219652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.