DIANE MAXWELL NP
NPI 1063111672
Nurse Practitioner in Jackson, TN

Q: What is Diane Maxwell's NPI number?

The NPI number for Diane Maxwell is 1063111672. It was assigned to this individual provider in the NPPES registry on March 2, 2023.

Q: What is Diane Maxwell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Diane Maxwell was last updated on January 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since March 02, 2023PECOS Enrolled

1385 S HIGHLAND AVE STE B1, JACKSON, TN 38301(731) 427-0470(731) 427-0995 Get Directions Write a Review

NPPES record last updated: January 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 7, 2024, Jun 14, 2024, Mar 2, 2023 (3 updates tracked since 2023).

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About Diane Maxwell Np NPPES

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

DIANE MAXWELL NP (NPI 1063111672) is an individual nurse practitioner in Jackson, Tennessee, licensed in Tennessee (APN0000036026) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063111672

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameDIANE MAXWELLCredential: NP

Location Address1385 S HIGHLAND AVE STE B1Jackson, TN 38301-7547

Mailing Address1385 S Highland Ave Ste B1Jackson, TN 38301-7547 · (731) 427-0470 · Fax (731) 427-0995

Phone(731) 427-0470

Fax(731) 427-0995

Sole ProprietorNo

Enumeration DateMarch 2, 2023

Last NPPES UpdateJanuary 16, 20253 updates tracked since enumeration

NPPES CertifiedJanuary 16, 2025

✔ NPI 1063111672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in TN · APN0000036026

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedRegistered NurseTaxonomy 163W00000X · License 0000243667 (TN)

1385 S HIGHLAND AVE STE B1, Jackson, TN 38301

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Diane Maxwell Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38301 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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 5

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

SUSAN C MARTIN FNP-BC

Nurse Practitioner (Primary Care)