Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DIANE MARIE COUGHLAN CRNP
NPI 1124322508
Nurse Practitioner in Philadelphia, PA

Q: What is Diane Coughlan's NPI number?

The NPI number for Diane Coughlan is 1124322508. It was assigned to this individual provider in the NPPES registry on December 29, 2010.

Q: What is Diane Coughlan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Diane Coughlan was last updated on October 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.

Active since December 29, 2010PECOS Enrolled

1650 MARKET ST STE 3600, PHILADELPHIA, PA 19103(855) 212-2273(629) 240-6003 Get Directions Write a Review

NPPES record last updated: October 22, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Diane Marie Coughlan Crnp NPPES

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

DIANE MARIE COUGHLAN CRNP (NPI 1124322508) is an individual nurse practitioner in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP011208) and active in the NPI registry since December 2010. She is enrolled in Medicare PECOS and maintains a secondary practice location in Upper Chichester.

NPPES Registry Identity

NPI1124322508

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameDIANE MARIE COUGHLANCredential: CRNP

Location Address1650 MARKET ST STE 3600Philadelphia, PA 19103-7334

Mailing Address5410 Maryland Way Ste 400Brentwood, TN 37027-8087 · (855) 212-2273

Phone(855) 212-2273

Fax(629) 240-6003

Sole ProprietorNo

Enumeration DateDecember 29, 2010

Last NPPES UpdateOctober 22, 2026

NPPES CertifiedOctober 22, 2026

✔ NPI 1124322508 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in PA · SP011208

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

1650 MARKET ST STE 3600, Philadelphia, PA 19103

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Secondary Practice Location 1

Location 14115 Chichester AveUpper Chichester, PA 19061-3139 · Phone (610) 484-4422

Other Identifiers 1

Medicaid104286464-0003PA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Diane Marie Coughlan Crnp 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 Diane Coughlan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Monogram Health Professional Services PC

690 mi

Nephrology

5410 MARYLAND WAY STE 400
Brentwood, TN 37027

Reassigned Medicare billing, Pennsylvania enrollment
99 clinicians in this Medicare group

NPI 1134739089 (615) 465-8684

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 5

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 nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

301 services59 patients

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310

A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.

130 services47 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

78 services66 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

15 services12 patients

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.

13 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19103 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

$92.69 typical visit price

range $59.88 – $180.99

Typical copayment $23.17 (range $14.97 – $45.24)

Most-billed visit code 99203

Established Patient

$105.21 typical visit price

range $19.30 – $147.29

Typical copayment $26.30 (range $4.82 – $36.82)

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 20

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

ULYSSES SAMUEL ATOR PA-C, MPAS

Physician Assistant