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DIANA NEMIROVSKY CNM
NPI 1053695395
Advanced Practice Midwife in Berkeley, CA

Active since October 05, 2011PECOS EnrolledAccepts Medicare Assignment
2450 ASHBY AVE RM 3040, BERKELEY, CA 94705(510) 204-3977(510) 204-5429 Get Directions Write a Review

NPPES record last updated: July 15, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Diana Nemirovsky Cnm NPPES

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

DIANA NEMIROVSKY CNM (NPI 1053695395) is an individual advanced practice midwife in Berkeley, California, licensed in California (1963) and active in the NPI registry since October 2011. She is enrolled in Medicare PECOS, maintains a secondary practice location in Oakland, and is a graduate of University Of California, San Francisco School Of Medicine (2011).

NPPES Registry Identity

NPI1053695395
Entity TypeIndividualFemale
Primary Taxonomy367A00000X
Provider Legal NameDIANA NEMIROVSKYCredential: CNM
Location Address2450 ASHBY AVE RM 3040Berkeley, CA 94705-2067
Mailing Address325 Distel CirLos Altos, CA 94022-1408 · (510) 204-3977 · Fax (510) 204-5429
Phone(510) 204-3977
Fax(510) 204-5429
Sole ProprietorNo
Medical School CMSUniversity Of California, San Francisco School Of MedicineGraduated 2011
Enumeration DateOctober 5, 2011
Last NPPES UpdateJuly 15, 2020
NPPES CertifiedJuly 15, 2020
✔ NPI 1053695395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367A00000X
License✔ Licensed in CA · 1963
Definition
Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.
Also ListedRegistered NurseTaxonomy 163W00000X · License 753612 (CA)
Also ListedNurse PractitionerTaxonomy 363L00000X · License 21112 (CA)
2450 ASHBY AVE RM 3040, Berkeley, CA 94705
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Secondary Practice Location 1

Location 11450 Fruitvale Ave, Suite HOakland, CA 94601-2313 · Phone (510) 535-2942 · Fax (510) 437-9752

Other Identifiers 5

Medicaid500645761OR
OtherR167530OR · Ptan
Other1963Amcb
Other753612CA · Board Of Nursing
Other21112CA · California Board Of Nursing

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Diana Nemirovsky Cnm is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3274786108
PECOS Enrollment IDI20160204002132
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 Reassignments

2

Medicare enrollment records show Diana Nemirovsky reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sutter Community Health
2.6 mi
Clinic/Center
350 30TH ST, STE 205
Oakland, CA 94609
  • Reassigned Medicare billing, California enrollment
  • 19 clinicians in this Medicare group
NPI 1811021405 (510) 869-8425
Sutter Bay Medical Foundation
4.5 mi
Multi-Specialty
12 CAMINO ENCINAS
Orinda, CA 94563
  • Reassigned Medicare billing, California enrollment
  • 4,479 clinicians in this Medicare group
NPI 1366898538 (510) 204-8180

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94705 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
Most-billed visit code 99213
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 4

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

DIANE MARIA SCHNEIDER SPEECHLEY
Obstetrics & Gynecology
2450 ASHBY AVE RM 3040
BERKELEY, CA 94705
Alameda County (510) 204-3977
MICHELLE ANN MILLER MD
Hospitalist
2450 ASHBY AVE RM 3040
BERKELEY, CA 94705
Alameda County (510) 204-3977
MARIANNE SOMMERVILLE MD
Hospitalist
2450 ASHBY AVE RM 3040
BERKELEY, CA 94705
Alameda County (510) 204-3977
SONYA MARIANA JUBB NMW
Midwife
2450 ASHBY AVE RM 3040
BERKELEY, CA 94705
Alameda County (510) 204-3977

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 Nemirovsky's NPI number?

The NPI number for Diana Nemirovsky is 1053695395. It was assigned to this individual provider in the NPPES registry on October 5, 2011.

Where is Diana Nemirovsky located?

Diana Nemirovsky practices at 2450 Ashby Ave Rm 3040, Berkeley, CA 94705. The listed phone number is (510) 204-3977.

What is Diana Nemirovsky's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Is Diana Nemirovsky enrolled in Medicare?

Yes. Diana Nemirovsky is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Diana Nemirovsky's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Diana Nemirovsky reassigns Medicare benefits to 2 organizations: Sutter Community Health (Oakland, CA) and Sutter Bay Medical Foundation (Orinda, CA). Each 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 Nemirovsky's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Diana Nemirovsky was last updated on July 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.