Individual provider Active NPI

Diane R. Graybill Kehoe, FNP

  • Nurse Practitioner
  • Monroe, WI
National Provider Identifier
1942210604
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
6775 Issued in WI
Practice address
100 W 8TH St
Monroe, WI 53566-1021
Phone
(608) 324-1940
NPI assigned
Aug 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209002308 IL
Family Nurse Practitioner 363LF0000X 209002308 IL
Nurse Practitioner 363L00000X 6775 WI Primary

Addresses

Primary practice location

100 W 8TH St
Monroe, WI 53566-1021

Mailing address

515 22ND Avenue
Monroe, WI 53566-1569
Phone (312) 996-8009

Other practice location 1

1301 S. Kiwanis Dr.
Freeport, IL 61032-6907
Phone (773) 536-8400 ext. 136

Other practice location 2

2009 5th St
Monroe, WI 53566-1546
Phone (608) 324-2000

Other identifiers 1

IdentifierTypeStateIssuer
0040030712OtherILBC/BS

Other names 1

  • Diane R. Pineda Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://webproxyprd.monroeclinic.org/FHIR-PRD/api/FHIR/DSTU2/ Other
Direct Messaging Address dpineda6730@direct.monroeclinic.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, WI2 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

Enrollment IDStateProvider typePAC IDDetails
I20081203000341 IL Practitioner - Nurse Practitioner 4486715943 Reassigns benefits to 1 organization
I20160222000901 WI Practitioner - Nurse Practitioner 4486715943 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Monroe Clinic, Inc.Group PAC ID 3072425495, shared by 7 NPIs, 199 clinicians

Practice addresses (Care Compare)

1301 Kiwanis Dr
Freeport, IL 61032-6907
Phone (815) 235-1406

515 22ND Ave
Monroe, WI 53566-1569
Phone (608) 324-2000

Hospital & facility affiliations

  • The Monroe Clinic Hospital, Monroe, WI, CCN 520028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209002308ILMDNurse Practitioner
6775WIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Monroe Clinic, Inc. CurrentSince Jan 20, 2016 Accepting new patients
The Monroe Clinic, Inc. CurrentSince Jan 20, 2016 Accepting new patients
The Monroe Clinic, Inc. CurrentSince Jan 20, 2016 Accepting new patients

Locations

1301 Kiwanis Dr
Freeport, IL 61032
Phone (815) 235-1406

515 22nd Ave
Monroe, WI 53566
Phone (608) 324-1000

100 W 8th St
Monroe, WI 53566
Phone (608) 324-1940

2009 5th St
Monroe, WI 53566
Phone (608) 324-1454

Interoperability endpoints

  • Direct secure messaging: dpineda407899@direct-ehr-ssmhc.com

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1942210604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 22ND AVENUE",
            "city": "MONROE",
            "state": "WI",
            "postal_code": "535661569",
            "telephone_number": "312-996-8009",
            "fax_number": "312-996-7725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W 8TH ST",
            "city": "MONROE",
            "state": "WI",
            "postal_code": "535661021",
            "telephone_number": "608-324-1940"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1301 S. Kiwanis Dr.",
            "address_purpose": "LOCATION",
            "city": "Freeport",
            "state": "IL",
            "postal_code": "610326907",
            "country_code": "US",
            "telephone_number": "773-536-8400 x136",
            "fax_number": "773-536-2406",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2009 5th St",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "WI",
            "postal_code": "535661546",
            "country_code": "US",
            "telephone_number": "608-324-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAYBILL KEHOE",
        "first_name": "DIANE",
        "middle_name": "R.",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209002308",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209002308",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "6775",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "0040030712",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://webproxyprd.monroeclinic.org/FHIR-PRD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "1301 S. Kiwanis Dr.",
            "city": "Freeport",
            "state": "IL",
            "country_code": "US",
            "postal_code": "610326907",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dpineda6730@direct.monroeclinic.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "dpineda6730@direct.monroeclinic.org",
            "address_1": "1301 S. Kiwanis Dr.",
            "city": "Freeport",
            "state": "IL",
            "country_code": "US",
            "postal_code": "610326907",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "DIANE",
            "last_name": "PINEDA",
            "middle_name": "R.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Monroe, WI

Sources for this page

Verify at the official NPI Registry.