Diane Marie Radosevich, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

093455 Issued in MO

Practice address

508 W Pine St
Farmington, MO 63640-1426

Phone

(573) 747-1510

Fax

(573) 747-1512

NPI assigned

Nov 6, 2006

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 MO

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

Merit-based Incentive Payment System (MIPS)

Final score

95.62 of 100Reported as group

Quality

100

Improvement activities

40

Cost

75

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Midwest Health Group LLC

  • Family Medicine Physician
  • Farmington, MO
  • NPI 1295857340

  MO

  Medicare reassignment
• Midwest Health Group Convenient Care, LLC

  • Non-Pharmacy Dispensing Site
  • Bonne Terre, MO
  • NPI 1265987853
  NPD (past)
• Midwest Health Group Convenient Care, LLC

  • Non-Pharmacy Dispensing Site
  • Fredericktown, MO
  • NPI 1861948697
  NPD (past)

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268352000000",
    "number": "1992884183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 W PINE ST",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636401426",
            "telephone_number": "573-747-1510",
            "fax_number": "573-747-1512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 W PINE ST",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636401426",
            "telephone_number": "573-747-1510",
            "fax_number": "573-747-1512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADOSEVICH",
        "first_name": "DIANE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2010-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "093455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pyramid Home Healthcare, Inc
• Nicholette Quinton
• Ross Thomas Quinton, NP
• Sydney K Quinton, DNP, APRN, FNP-C
• Barbara Ruth Radford, BA, PSYCH
• Faith Juanita Eulema Radosevich, RN
• Skylar Ragland, BSW
• Michelle Lee Ramirez, MSW
• Rustico A Ramos, M.D.
• Christina Ann Rariden, FNP, PMHNP

• All providers in Farmington, MO
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2010; 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.