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DIANA ISABEL CLAVIJO
NPI 1003671629
Nurse Practitioner - Family in Port St Lucie, FL

Active since February 14, 2024PECOS Enrolled
1170 SW BAYSHORE BLVD STE 100, PORT ST LUCIE, FL 34983(772) 309-0030(855) 538-2084 Get Directions Write a Review

NPPES record last updated: May 16, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Diana Isabel Clavijo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DIANA ISABEL CLAVIJO (NPI 1003671629) is an individual family provider in Port St Lucie, Florida, licensed in Florida (11030622) and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1003671629
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDIANA ISABEL CLAVIJO
Location Address1170 SW BAYSHORE BLVD STE 100Port St Lucie, FL 34983-2408
Mailing Address1170 Sw Bayshore Blvd Ste 100Port St Lucie, FL 34983-2408 · (772) 309-0030 · Fax (855) 538-2084
Phone(772) 309-0030
Fax(855) 538-2084
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateFebruary 14, 2024
Last NPPES UpdateMay 16, 2026
NPPES CertifiedMay 16, 2026
✔ NPI 1003671629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in FL · 11030622
1170 SW BAYSHORE BLVD STE 100, Port St Lucie, FL 34983
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Diana Isabel Clavijo is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1456796432
PECOS Enrollment IDI20240229001557
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Diana Clavijo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Nova Medical Services - Wound Care Division LLC
111 mi
Family Medicine
11420 N KENDALL DR STE 207
Miami, FL 33176
  • Reassigned Medicare billing, Florida enrollment
  • 74 clinicians in this Medicare group
NPI 1578145793 (786) 715-9183

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
163 services72 patients
Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
106 services49 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
35 services25 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
30 services24 patients
Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes 99344
A new patient home visit is a comprehensive service where a healthcare professional visits your home for about an hour. This visit includes an overall health assessment, discussion about your medical history, and planning for future healthcare needs. The goal is to understand your health status and provide personalized care.
20 services20 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
20 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34983 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SOMA MEDICAL CENTER, PA #4
Pediatrics
1170 SW BAYSHORE BLVD STE 100
PORT ST LUCIE, FL 34983
St. Lucie County (561) 281-4707

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Diana Clavijo's NPI number?

The NPI number for Diana Clavijo is 1003671629. It was assigned to this individual provider in the NPPES registry on February 14, 2024.

Where is Diana Clavijo located?

Diana Clavijo practices at 1170 SW Bayshore Blvd Ste 100, Port St Lucie, FL 34983. The listed phone number is (772) 309-0030.

What is Diana Clavijo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Diana Clavijo enrolled in Medicare?

Yes. Diana Clavijo is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Diana Clavijo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Diana Clavijo reassigns Medicare benefits to Nova Medical Services - Wound Care Division LLC (Miami, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Diana Clavijo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Diana Clavijo accept?

Health plans from Oscar Health Maintenance Organization of Florida list Diana Clavijo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Diana Clavijo was last updated on May 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.