| Nicole Marie Diodato, CRNP | |
|
5000 Thayer Ctr Ste C, Oakland, MD 21550-1139 | |
| (443) 806-8858 | |
| (800) 794-7922 |
| Full Name | Nicole Marie Diodato |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 1 Years |
| Location | 5000 Thayer Ctr Ste C, Oakland, Maryland |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033786363 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | R165336 (Maryland) | Primary |
| 363L00000X | Nurse Practitioner | R165336 (Maryland) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Premier Wellness Healthcare | 1052688389 | 6 |
| Aspire Wellness Center Inc | 2961685706 | 33 |
| Matclinic Physicians Practice Group Llc | 3274804349 | 21 |
| Matclinic Physicians Practice Group Llc | 3274804349 | 21 |
| Entity Name | Aspire Wellness Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780971630 PECOS PAC ID: 2961685706 Enrollment ID: O20110331000650 |
| Entity Name | Premier Wellness Healthcare |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376087635 PECOS PAC ID: 1052688389 Enrollment ID: O20170517000801 |
| Entity Name | Matclinic Physicians Practice Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104375294 PECOS PAC ID: 3274804349 Enrollment ID: O20170808001490 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Marie Diodato, CRNP 103 N Main St, Bel Air, MD 21014-3539 Ph: (888) 333-1345 | Nicole Marie Diodato, CRNP 5000 Thayer Ctr Ste C, Oakland, MD 21550-1139 Ph: (443) 806-8858 |
Brenda Sue Moreland, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 251 N 4th St, Oakland, MD 21550 Phone: 301-533-4000 | |
Mrs. Kaylene Lynn Gray, CRNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1027 Memorial Dr, Oakland, MD 21550 Phone: 301-533-3300 Fax: 301-533-3299 | |
Kabrima Y Petty, DNP, APRN, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5000 Thayer Ctr Ste C, Oakland, MD 21550 Phone: 803-493-6264 | |
Jacquelyn P Bauer, C.R.N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1027 Memorial Dr, Oakland, MD 21550 Phone: 301-533-3300 Fax: 833-448-0361 | |
Kela Lynn Thomas, CRNP FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 251 N 4th St, Oakland, MD 21550 Phone: 301-616-9056 | |
Amber Elizabeth Stonesifer, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 251 N 4th St, Oakland, MD 21550 Phone: 301-533-4000 |