DIANNE R MODLESKI NP NPI 1679585939

NPI Information

  • NPI: 1679585939
  • Provider Name: DIANNE R MODLESKI, NP
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1633 N CAPITOL AVE
    STE 322
    INDIANAPOLIS, IN
    ZIP 46202
  • Phone: (317) 962-2929

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NPI Details

Dianne R Modleski, NP is an adult health nurse practitioner in Indianapolis, IN. Dianne R Modleski, NP NPI is 1679585939. 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:

1633 N CAPITOL AVE
STE 322
INDIANAPOLIS, IN
ZIP 46202-476
Phone: (317) 962-2929
Fax: (317) 962-2070

The NPI 1679585939 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 enumeration date for this NPI number is 8/13/2006 and was last updated on 10/23/2013.

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
1363L00000XNurse Practitioner71002179AINDIANANo
2363LG0600XNurse PractitionerGerontology71002179AINDIANANo
3363LA2200XNurse PractitionerAdult Health71002179AINDIANAYes

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
1715530AIIIMEDICARE PININDIANA
2200830870MEDICAIDINDIANA
3264430130MEDICARE PININDIANA
4P70851MEDICARE UPININDIANA

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: 3/30/2025

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