Diondria E Ingram, CNM is a medicare enrolled "Advanced Practice Midwife" in Show Low, Arizona. She graduated from nursing school in 2017 and has 8 years of diverse experience with area of expertise as Certified Nurse Midwife (cnm). She is a member of the group practice Momdoc Llc and her current practice location is
5171 S Cub Lake Rd Ste 340, Show Low, Arizona. You can reach out to her office (for appointments etc.) via phone at
(480) 821-3600.
Diondria E Ingram is licensed to practice in Arizona (license number 322288) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1205493194.
Provider's Profile
| Full Name | Diondria E Ingram |
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| Gender | Female |
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| Speciality | Certified Nurse Midwife (cnm) |
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| Experience | 8 Years |
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| Location | 5171 S Cub Lake Rd Ste 340, Show Low, Arizona |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Diondria E Ingram graduated from nursing school in 2017
NPI Data:
- NPI Number: 1205493194
- Provider Enumeration Date: 05/25/2019
- Last Update Date: 04/11/2025
Medicare PECOS Information:
- PECOS PAC ID: 0941607865
- Enrollment ID: I20250610003972
Medical Identifiers
Medical identifiers for Diondria E Ingram such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1205493194 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367A00000X | Advanced Practice Midwife | 322288 (Arizona) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Momdoc Llc | 3375534282 | 63 |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Diondria E Ingram is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Diondria E Ingram, CNM
Po Box 6730,
Chandler, AZ 85246-6730
Ph: (480) 821-3600 | Diondria E Ingram, CNM
5171 S Cub Lake Rd Ste 340,
Show Low, AZ 85901-7888
Ph: (480) 821-3600 |
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