JILL MAUREEN DIEDRING NP NPI 1609015346

NPI Information

  • NPI: 1609015346
  • Provider Name: JILL MAUREEN DIEDRING, NP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 11108 PARKVIEW CIRCLE DR
    FORT WAYNE, IN
    ZIP 46845
  • Phone: (260) 266-5700

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NPI Details

Jill Maureen Diedring, NP is a family nurse practitioner in Fort Wayne, IN with 18 years of experience. Jill Maureen Diedring, NP NPI is 1609015346. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

11108 PARKVIEW CIRCLE DR
FORT WAYNE, IN
ZIP 46845-730
Phone: (260) 266-5700
Fax: (260) 266-5920

The NPI 1609015346 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Routine electrocardiogram (ecg) using at least 12 leads with tracing (HCPCS:93005)

The enumeration date for this NPI number is 2/19/2009 and was last updated on 10/20/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered Nurse28080833AINDIANANo
2363LF0000XNurse PractitionerFamily28080833AINDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000000641072OTHERINDIANAANTHEM
2P00826227OTHERINDIANAR.R. MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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