MRS. DIANE LYNN DESTEFANO APRN
NPI 1063797314
Nurse Practitioner - Acute Care in Mount Carmel, IL

Q: What is Diane Destefano's NPI number?

The NPI number for Diane Destefano is 1063797314. It was assigned to this individual provider in the NPPES registry on October 19, 2011.

Q: What is Diane Destefano's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Diane Destefano was last updated on June 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since October 19, 2011PECOS EnrolledAccepts Medicare Assignment

60.99/100

CMS Quality Rating

1123 CHESTNUT ST, MOUNT CARMEL, IL 62863(618) 263-4376(618) 262-7970 Get Directions Write a Review

NPPES record last updated: June 10, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Mrs. Diane Lynn Destefano Aprn NPPES

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

MRS. DIANE LYNN DESTEFANO APRN (NPI 1063797314) is an individual acute care provider in Mount Carmel, Illinois, licensed in Illinois (209009671) and active in the NPI registry since October 2011. She is enrolled in Medicare PECOS, is affiliated with Wabash General Hospital 1, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1063797314

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameMRS. DIANE LYNN DESTEFANOCredential: APRN

Location Address1123 CHESTNUT STMount Carmel, IL 62863-1212

Mailing Address1123 Chestnut StMount Carmel, IL 62863-1212 · (618) 263-4376 · Fax (618) 262-7970

Phone(618) 263-4376

Fax(618) 262-7970

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateOctober 19, 2011

Last NPPES UpdateJune 10, 2014

✔ NPI 1063797314 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in IL · 209009671

1123 CHESTNUT ST, Mount Carmel, IL 62863

Open in Google Maps ↗

Other Identifiers 4

Other209009671IL · Illinois Apn License

Other3007204KY · Ky Lic

Medicare PINM400058382IN

Other71003775AIN · In License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Diane Lynn Destefano Aprn 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 ID2264606995

PECOS Enrollment IDI20130328000349

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wabash General Hospital 1

Critical Access Hospitals · Mount Carmel, IL

OwnershipGovernment - Hospital District or Authority

CMS Certification Number141327

Location1418 College DriveMount Carmel, IL 62863 · Wabash County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62863 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

60.99/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

62.42

Promoting Interoperability

Improvement Activities

Cost

17.59

Referred Medical Equipment & Supplies CMS DME claims 21

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

11 suppliers81 claims197 services$5.63 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

8 suppliers21 claims32 services$0.99 avg. paid by Medicare

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

5 suppliers12 claims12 services$46.32 avg. paid by Medicare

Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003

DME-Other DME · category DE000N

2 suppliers18 claims35 services$1.61 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

5 suppliers13 claims36 services$42.33 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

7 suppliers12 claims12 services$22.02 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

7 suppliers22 claims120 services$2.59 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

1 supplier11 claims11 services$60.86 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers27 claims28 services$19.58 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

1 supplier11 claims11 services$17.15 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

2 suppliers29 claims29 services$7.16 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

2 suppliers12 claims12 services$49.06 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers52 claims53 services$109.65 avg. paid by Medicare

Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms J7605

DME-Drugs Administered Through DME · category DG006N

5 suppliers35 claims2,010 services$4.23 avg. paid by Medicare

Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms J7606

DME-Drugs Administered Through DME · category DG006N

1 supplier12 claims720 services$6.34 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

7 suppliers31 claims7,848 services$0.03 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

3 suppliers27 claims2,550 services$0.09 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

3 suppliers38 claims2,532 services$0.77 avg. paid by Medicare

Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram J7644

DME-Drugs Administered Through DME · category DG006N

2 suppliers13 claims950 services$0.16 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

8 suppliers110 claims110 services$187.53 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

10 suppliers80 claims80 services$25.38 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

JOHN LOGAN KEEPES PMHNP-BC

Nurse Practitioner (Psychiatric/Mental Health)

1123 CHESTNUT ST
MOUNT CARMEL, IL 62863

Wabash County (618) 263-4970

WABASH COUNTY HEALTH DEPARTMENT

Rehabilitation, Substance Use Disorder Unit

1123 CHESTNUT ST
MOUNT CARMEL, IL 62863

Wabash County (618) 263-4970

MRS. DANA NANETTE BREWSTER MSW, LCSW

Social Worker

1123 CHESTNUT ST
MOUNT CARMEL, IL 62863

Wabash County (618) 263-4970

LAUREN SPENCER CROFT M.D.

Pediatrics

1123 CHESTNUT ST
MOUNT CARMEL, IL 62863

Wabash County (618) 263-4376

WABASH GENERAL HOSPITAL DISTRICT

Clinic/Center (Federally Qualified Health Center (FQHC))

1123 CHESTNUT ST
MOUNT CARMEL, IL 62863

Wabash County (618) 263-9363

NARENDRA H ANADKAT M D P C

Internal Medicine

1123 CHESTNUT ST
MOUNT CARMEL, IL 62863

Wabash County (618) 263-4376

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 Diane Destefano's NPI number?

The NPI number for Diane Destefano is 1063797314. It was assigned to this individual provider in the NPPES registry on October 19, 2011.

Where is Diane Destefano located?

Diane Destefano practices at 1123 Chestnut St, Mount Carmel, IL 62863. The listed phone number is (618) 263-4376.

What is Diane Destefano's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Diane Destefano enrolled in Medicare?

Yes. Diane Destefano 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.

Is Diane Destefano affiliated with any hospitals?

According to CMS data, Diane Destefano is affiliated with Wabash General Hospital 1.

When was this NPI record last updated?

The NPPES record for Diane Destefano was last updated on June 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.