1. Home
  2. Directory
  3. Florida
  4. Tampa
  5. Nurse Practitioner
  6. NPI Profile

MS. DIANE MELOCHE JUSTUSSON PMHNP
NPI 1114178688
Nurse Practitioner - Psychiatric/Mental Health in Tampa, FL

Active since October 02, 2008PECOS Enrolled
4115 W SPRUCE ST STE 205, TAMPA, FL 33607(239) 999-1029(617) 807-0958 Get Directions Write a Review

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

Record update history: May 16, 2025, May 1, 2019 (2 updates tracked since 2019).

About Ms. Diane Meloche Justusson Pmhnp NPPES

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

MS. DIANE MELOCHE JUSTUSSON PMHNP (NPI 1114178688) is an individual psychiatric/mental health provider in Tampa, Florida, licensed in Florida (APRN11038302) and active in the NPI registry since October 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114178688
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMS. DIANE MELOCHE JUSTUSSONCredential: PMHNP
Location Address4115 W SPRUCE ST STE 205Tampa, FL 33607-2485
Mailing Address87-1048 Huamoa StWaianae, HI 96792-3435 · (808) 375-7317
Phone(239) 999-1029
Fax(617) 807-0958
Sole ProprietorNo
Enumeration DateOctober 2, 2008
Last NPPES UpdateMay 16, 20252 updates tracked since enumeration
NPPES CertifiedMay 16, 2025
✔ NPI 1114178688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in FL · APRN11038302✔ Licensed in HI · 1433
Also ListedAdvanced Practice MidwifeTaxonomy 367A00000X · License 1433 (HI)
4115 W SPRUCE ST STE 205, Tampa, FL 33607
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Oscar Health Maintenance Organization of Florida, Providence Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Diane Meloche Justusson Pmhnp 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 33607 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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 10

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

MARLA MCQUAY
Counselor (Mental Health)
4115 W SPRUCE ST STE 205
TAMPA, FL 33607
Hillsborough County (855) 284-7483
RAVEN FISK
Social Worker (Clinical)
4115 W SPRUCE ST STE 205
TAMPA, FL 33607
Hillsborough County (239) 999-1029
STEPHANIE ELIZABETH SELBY
Counselor (Mental Health)
4115 W SPRUCE ST STE 205
TAMPA, FL 33607
Hillsborough County (855) 284-7483
ALOKA JOSHI
Psychologist
4115 W SPRUCE ST STE 205
TAMPA, FL 33607
Hillsborough County (855) 284-7483
ALEXANDRIA RENEE LODICK
Counselor (Mental Health)
4115 W SPRUCE ST STE 205
TAMPA, FL 33607
Hillsborough County (855) 284-7483
MAUREEN MURPHY-LEE LAC
Counselor (Mental Health)
4115 W SPRUCE ST STE 205
TAMPA, FL 33607
Hillsborough County (479) 595-4381
KHAVITA PERSAUD LCSW
Social Worker (Clinical)
4115 W SPRUCE ST STE 205
TAMPA, FL 33607
Hillsborough County (239) 999-1029
ANA GUEVARA
Counselor (Mental Health)
4115 W SPRUCE ST STE 205
TAMPA, FL 33607
Hillsborough County (239) 999-1029

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 Justusson's NPI number?

The NPI number for Diane Justusson is 1114178688. It was assigned to this individual provider in the NPPES registry on October 2, 2008.

Where is Diane Justusson located?

Diane Justusson practices at 4115 W Spruce St Ste 205, Tampa, FL 33607. The listed phone number is (239) 999-1029.

What is Diane Justusson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Diane Justusson enrolled in Medicare?

Yes. Diane Justusson is registered in the Medicare PECOS enrollment system.

What insurance does Diane Justusson accept?

Health plans from Moda Health Plan, Inc., Oscar Health Maintenance Organization of Florida, Providence Health Plan and UnitedHealthcare list Diane Justusson 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 Diane Justusson was last updated on May 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.