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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: November 01, 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 and maintains 2 additional practice locations.

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 ↗

Secondary Practice Locations 2

Location 187-1048 Huamoa StWaianae, HI 96792-3435 · Phone (808) 375-7317
Location 286-260 Farrington Hwy, ATTN: CREDENTIALINGWaianae, HI 96792-3128 · Phone (808) 697-3517 · Fax (808) 697-3687

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc., Florida Blue (BlueCross BlueShield FL) and more.Insurance ›

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Diane Justusson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Thrive Counseling LLC
680 mi
Mental Health
1000 JEFFERSON ST STE 2C
Lynchburg, VA 24504
  • Reassigned Medicare billing, District of Columbia enrollment
  • 143 clinicians in this Medicare group
NPI 1215181300 (855) 284-7483
Lane County Oregon
2,492 mi
Federally Qualified Health Center (FQHC)
2073 OLYMPIC ST
Springfield, OR 97477
  • Reassigned Medicare billing, Oregon enrollment
  • 143 clinicians in this Medicare group
NPI 1326138314 (541) 682-3550
Kalihi Palama Health Center
4,689 mi
Federally Qualified Health Center (FQHC)
952 N KING ST
Honolulu, HI 96817
  • Reassigned Medicare billing, Hawaii enrollment
  • 58 clinicians in this Medicare group
NPI 1881632156 (808) 841-7981

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 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 9

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

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
KATHY THOMPSON
Counselor (Mental Health)
4115 W SPRUCE ST STE 205
TAMPA, FL 33607
Hillsborough County (813) 413-4663

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.

Which organizations bill Medicare for Diane Justusson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Diane Justusson reassigns Medicare benefits to 3 organizations: Thrive Counseling LLC (Lynchburg, VA), Lane County Oregon (Springfield, OR) and Kalihi Palama Health Center (Honolulu, HI). 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 Diane Justusson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Diane Justusson accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Moda Health Plan, Inc. and 4 other insurers 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 17 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.