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DIANA MUKAMUSONI FULAZA FNP
NPI 1144996224
Nurse Practitioner - Family in Evanston, IL

Active since August 19, 2021PECOS Enrolled
2650 RIDGE AVE EVANSTON, IL 60201, EVANSTON, IL 60201(847) 570-2000 Get Directions Write a Review

NPPES record last updated: August 19, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Diana Mukamusoni Fulaza Fnp NPPES

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

DIANA MUKAMUSONI FULAZA FNP (NPI 1144996224) is an individual family provider in Evanston, Illinois, licensed in Illinois (209.022042) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144996224
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDIANA MUKAMUSONI FULAZACredential: FNP
Location Address2650 RIDGE AVE EVANSTON, IL 60201Evanston, IL 60201
Mailing Address1516 W Touhy Ave Apt 1aChicago, IL 60626-2631 · (773) 546-8782
Phone(847) 570-2000
Sole ProprietorYes
Enumeration DateAugust 19, 2021
NPPES CertifiedJuly 28, 2021
✔ NPI 1144996224 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IL · 209.022042
2650 RIDGE AVE EVANSTON, IL 60201, Evanston, IL 60201
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Other Identifiers 1

MedicaidFNPIL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Diana Mukamusoni Fulaza Fnp 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

4

Medicare enrollment records show Diana Fulaza reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cs Pacs 3 Il, S.C.
8.5 mi
Hospitalist
1001 N GREENWOOD AVE
Park Ridge, IL 60068
  • Reassigned Medicare billing, Illinois enrollment
  • 44 clinicians in this Medicare group
NPI 1598577124 (847) 692-5600
Illinois Post-Acute Medical Services 1 PC
21 mi
Hospitalist
15 SALT CREEK LN
Hinsdale, IL 60521
  • Reassigned Medicare billing, Illinois enrollment
  • 52 clinicians in this Medicare group
NPI 1952830853 (865) 693-1000
Cs Pacs 3 Midwest LLC
248 mi
Hospitalist
1001 E ALEX BELL RD
Dayton, OH 45459
  • Reassigned Medicare billing, Illinois enrollment
  • 43 clinicians in this Medicare group
NPI 1972368785 (937) 436-9700
Nv Pacs 2 LLC
1,533 mi
Hospitalist
10550 PARK RUN DR
Las Vegas, NV 89144
  • Reassigned Medicare billing, Illinois enrollment
  • 33 clinicians in this Medicare group
NPI 1427534809 (865) 693-1000

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.
1,016 services126 patients
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.
412 services42 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.
114 services87 patients
Nursing facility discharge management, more than 30 minutes 99316
Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.
30 services29 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.
19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60201 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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 Fulaza's NPI number?

The NPI number for Diana Fulaza is 1144996224. It was assigned to this individual provider in the NPPES registry on August 19, 2021.

Where is Diana Fulaza located?

Diana Fulaza practices at 2650 Ridge Ave Evanston, Il 60201, Evanston, IL 60201. The listed phone number is (847) 570-2000.

What is Diana Fulaza's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Diana Fulaza enrolled in Medicare?

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

Which organizations bill Medicare for Diana Fulaza's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Diana Fulaza reassigns Medicare benefits to 4 organizations: Cs Pacs 3 Il, S.C. (Park Ridge, IL), Illinois Post-Acute Medical Services 1 PC (Hinsdale, IL), Cs Pacs 3 Midwest LLC (Dayton, OH) and Nv Pacs 2 LLC (Las Vegas, NV). 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 Diana Fulaza's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Diana Fulaza was last updated on August 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.