DIANA ANDREEA STAN
NPI 1114465598
Physician Assistant - Medical in Glendale, AZ

Active since February 07, 2017PECOS EnrolledAccepts Medicare Assignment
18555 N 79TH AVE STE B108, GLENDALE, AZ 85308(623) 773-2848 Get Directions Write a Review

NPPES record last updated: July 17, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 17, 2018, Feb 7, 2017 (2 updates tracked since 2017).

About Diana Andreea Stan NPPES

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

DIANA ANDREEA STAN (NPI 1114465598) is an individual medical provider in Glendale, Arizona, licensed in Arizona (6630) and active in the NPI registry since February 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1114465598
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameDIANA ANDREEA STAN
Location Address18555 N 79TH AVE STE B108Glendale, AZ 85308
Mailing Address1847 W Heatherbrae DrPhoenix, AZ 85015-4764
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateFebruary 7, 2017
Last NPPES UpdateJuly 17, 20182 updates tracked since enumeration
NPI 1114465598 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 AZ · 6630
18555 N 79TH AVE STE B108, Glendale, AZ 85308

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

Diana Andreea Stan 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 ID4981943149
PECOS Enrollment IDI20190305002991
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.

Other Providers at the Same Location NPPES 3

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

Family Medicine
18555 N 79TH AVE STE B108
GLENDALE, AZ 85308
Nurse Practitioner
18555 N 79TH AVE STE B108
GLENDALE, AZ 85308
Physician Assistant
18555 N 79TH AVE STE B108
GLENDALE, AZ 85308

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 Diana Stan's NPI number?

The NPI number for Diana Stan is 1114465598. It was assigned to this individual provider in the NPPES registry on February 7, 2017.

Where is Diana Stan located?

Diana Stan practices at 18555 N 79th Ave Ste B108, Glendale, AZ 85308. The listed phone number is (623) 773-2848.

What is Diana Stan's specialty?

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

Is Diana Stan enrolled in Medicare?

Yes. Diana Stan 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.

When was this NPI record last updated?

The NPPES record for Diana Stan was last updated on July 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.