DIANE MARIE LEARN PA
NPI 1114077096
Physician Assistant - Medical in Salisbury, MD

Active since January 11, 2007PECOS EnrolledAccepts Medicare Assignment
79.47/100
CMS Quality Rating
264 TILGHMAN RD, SALISBURY, MD 21804(410) 742-7246 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 7, 2023, Jul 10, 2022, Feb 26, 2019 and 1 more (4 updates tracked since 2018).

About Diane Marie Learn Pa NPPES

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

DIANE MARIE LEARN PA (NPI 1114077096) is an individual medical provider in Salisbury, Maryland, licensed in Maryland (C01277) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS, is affiliated with Tidalhealth Peninsula Regional, Inc, and maintains a secondary practice location in Salisbury.

NPPES Registry Identity

NPI1114077096
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameDIANE MARIE LEARNCredential: PA
Location Address264 TILGHMAN RDSalisbury, MD 21804-1921
Mailing Address264 Tilghman RdSalisbury, MD 21804-1921 · (443) 260-2660 · Fax (443) 260-2660
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateJanuary 11, 2007
Last NPPES UpdateMarch 7, 20234 updates tracked since enumeration
NPPES CertifiedJuly 10, 2022
NPI 1114077096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in MD · C01277
264 TILGHMAN RD, Salisbury, MD 21804

Other Names 1

Former Name (1)Diane Marie Hernandez Pa

Secondary Practice Location 1

Location 1100 E Carroll StSalisbury, MD 21801-5422 · Phone (410) 543-7530 ext. 3832

Other Identifiers 2

OtherPA62418MD · Cds
OtherC01277MD · License

Accepted Insurance

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

Diane Marie Learn Pa 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 ID5496858565
PECOS Enrollment IDI20070309000250
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.

Areas of Expertise CMS Part B claims 3

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.

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.
1,230 services489 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
73 services73 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
58 services58 patients

Hospital Affiliations CMS Care Compare

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

Tidalhealth Peninsula Regional, Inc

Acute Care Hospitals · Salisbury, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210019
Location100 East Carroll AvenueSalisbury, MD 21801 · Wicomico County
Emergency services Birthing friendly

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.

79.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.23
Promoting Interoperability92
Improvement Activities40
Cost60

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.

Anesthesiology
264 TILGHMAN RD
SALISBURY, MD 21804
Nurse Practitioner (Family)
264 TILGHMAN RD
SALISBURY, MD 21804
Pain Medicine (Interventional Pain Medicine)
264 TILGHMAN RD
SALISBURY, MD 21804
Nurse Practitioner (Family)
264 TILGHMAN RD
SALISBURY, MD 21804
Anesthesiology (Pain Medicine)
264 TILGHMAN RD
SALISBURY, MD 21804

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 Learn's NPI number?

The NPI number for Diane Learn is 1114077096. It was assigned to this individual provider in the NPPES registry on January 11, 2007. The provider is also known as Diane Marie Hernandez PA.

Where is Diane Learn located?

Diane Learn practices at 264 Tilghman Rd, Salisbury, MD 21804. The listed phone number is (410) 742-7246.

What is Diane Learn's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Diane Learn enrolled in Medicare?

Yes. Diane Learn 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.

What insurance does Diane Learn accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 1 other insurer list Diane Learn 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.

Is Diane Learn affiliated with any hospitals?

According to CMS data, Diane Learn is affiliated with Tidalhealth Peninsula Regional, Inc.

When was this NPI record last updated?

The NPPES record for Diane Learn was last updated on March 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.