DIANA HOPE MANDERSON APRN
NPI 1114619921
Nurse Practitioner - Pediatrics in St Augustine, FL

Active since May 22, 2023PECOS Enrolled
136 PRAIRIE RIDGE DR, ST AUGUSTINE, FL 32092(904) 404-6626 Get Directions Write a Review

NPPES record last updated: December 7, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 7, 2025, Mar 10, 2025, May 22, 2023 (3 updates tracked since 2023).

About Diana Hope Manderson Aprn NPPES

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

DIANA HOPE MANDERSON APRN (NPI 1114619921) is an individual pediatrics provider in St Augustine, Florida, licensed in Florida (11026420) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS and maintains a secondary practice location in Orlando.

NPPES Registry Identity

NPI1114619921
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameDIANA HOPE MANDERSONCredential: APRN
Location Address136 PRAIRIE RIDGE DRSt Augustine, FL 32092-1852
Mailing Address136 Prairie Ridge DrSt Augustine, FL 32092-1852 · (904) 404-6626
Sole ProprietorNo
Enumeration DateMay 22, 2023
Last NPPES UpdateDecember 7, 20253 updates tracked since enumeration
NPPES CertifiedDecember 7, 2025
✔ NPI 1114619921 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in FL · 11026420
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License APRN11026420 (FL)
136 PRAIRIE RIDGE DR, St Augustine, FL 32092

Secondary Practice Location 1

Location 1111 N Orange Ave Ste 800Orlando, FL 32801-2381 · Phone (888) 731-8994

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Diana Hope Manderson Aprn 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 Reassignment

Medicare enrollment records show Diana Manderson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
1 SHIRCLIFF WAY
Jacksonville, FL 32204
  • Reassigned Medicare billing, Florida enrollment
  • 492 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
365 services117 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
237 services101 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
50 services49 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
42 services41 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32092 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.

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 Manderson's NPI number?

The NPI number for Diana Manderson is 1114619921. It was assigned to this individual provider in the NPPES registry on May 22, 2023.

Where is Diana Manderson located?

Diana Manderson practices at 136 Prairie Ridge Dr, St Augustine, FL 32092. The listed phone number is (904) 404-6626.

What is Diana Manderson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Diana Manderson enrolled in Medicare?

Yes. Diana Manderson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Diana Manderson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Diana Manderson reassigns Medicare benefits to Hni Medical Services Of Florida, LLC (Jacksonville, FL). The 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 Diana Manderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Diana Manderson accept?

Health plans from Oscar Health Maintenance Organization of Florida list Diana Manderson 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 Diana Manderson was last updated on December 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.