| Diane K Niese, CNP | |
|
2770 Centennial Rd, 5 North Peds, Toledo, OH 43617-1829 | |
| (419) 794-0567 | |
| (419) 794-0569 |
| Full Name | Diane K Niese |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 39 Years |
| Location | 2770 Centennial Rd, Toledo, Ohio |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245395870 | NPI | - | NPPES |
| 000000508160 | Other | OH | ANTHEM |
| 2729659 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0200X | Nurse Practitioner - Pediatrics | RN205722 (Ohio) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Comprehensive Behavioral Health Services Llc | 2264502541 | 17 |
| Entity Name | Comprehensive Behavioral Health Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821266438 PECOS PAC ID: 2264502541 Enrollment ID: O20080529000100 |
| Mailing Address | Practice Location Address |
|---|---|
| Diane K Niese, CNP 2770 Centennial Rd, Toledo, OH 43617-1829 Ph: (419) 794-0567 | Diane K Niese, CNP 2770 Centennial Rd, 5 North Peds, Toledo, OH 43617-1829 Ph: (419) 794-0567 |
Jennifer Dawn Trost, NNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2213 Cherry St, Toledo, OH 43608 Phone: 419-251-4360 Fax: 419-251-5117 | |
Tearra Breeze Obafolahan, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6916 Cloister Rd, Toledo, OH 43617 Phone: 567-298-2344 | |
Rocio Crosby, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2213 Cherry St, Toledo, OH 43608 Phone: 419-251-2878 | |
Lisa Bainter, APRN-NPC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2109 Hughes Dr Ste 760, Toledo, OH 43606 Phone: 419-291-7555 Fax: 419-479-2696 | |
Janille Ann Blaylock, APRN, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2213 Cherry St, Toledo, OH 43608 Phone: 419-696-5555 | |
Natalie Rae Marienthal, MSN, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2100 W Central Ave Ste 100a, Toledo, OH 43606 Phone: 419-291-8400 | |
Karen Caputo, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2142 N Cove Blvd, Toledo, OH 43606 Phone: 419-291-4101 |