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MS. DIANE KENEALY RN NNP
NPI 1154409332
Nurse Practitioner - Neonatal, Critical Care in Philadelphia, PA

Active since November 02, 2006PECOS Enrolled
5501 OLD YORK RD # PALEY1, PHILADELPHIA, PA 19141(215) 456-7170(215) 456-4923 Get Directions Write a Review

NPPES record last updated: August 10, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 10, 2022, Apr 4, 2022 (2 updates tracked since 2022).

About Ms. Diane Kenealy Rn Nnp NPPES

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

MS. DIANE KENEALY RN NNP (NPI 1154409332) is an individual neonatal, critical care provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP012130) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154409332
Entity TypeIndividualFemale
Primary Taxonomy363LN0005X
Provider Legal NameMS. DIANE KENEALYCredential: RN NNP
Location Address5501 OLD YORK RD # PALEY1Philadelphia, PA 19141-3018
Mailing Address101 E Olney Ave Ste 400Philadelphia, PA 19120-2470 · (215) 456-1825 · Fax (215) 456-5926
Phone(215) 456-7170
Fax(215) 456-4923
Sole ProprietorNo
Enumeration DateNovember 2, 2006
Last NPPES UpdateAugust 10, 20222 updates tracked since enumeration
NPPES CertifiedAugust 10, 2022
✔ NPI 1154409332 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Neonatal, Critical CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LN0005X
Licenses✔ Licensed in PA · SP012130✔ Licensed in NJ · 26NN09780100
5501 OLD YORK RD # PALEY1, Philadelphia, PA 19141
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Other Identifiers 1

Medicaid1038803330002PA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Diane Kenealy Rn Nnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19141 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 2

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

ALBERT EINSTEIN MEDICAL CENTER
Case Manager/Care Coordinator
5501 OLD YORK RD # PALEY1
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-7890
MR. DAVID TANNEY YUSAVITZ CRNP
Nurse Practitioner (Pediatrics)
5501 OLD YORK RD # PALEY1
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-7170

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 Kenealy's NPI number?

The NPI number for Diane Kenealy is 1154409332. It was assigned to this individual provider in the NPPES registry on November 2, 2006.

Where is Diane Kenealy located?

Diane Kenealy practices at 5501 Old York Rd # Paley1, Philadelphia, PA 19141. The listed phone number is (215) 456-7170.

What is Diane Kenealy's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, Critical Care, with taxonomy code 363LN0005X.

Is Diane Kenealy enrolled in Medicare?

Yes. Diane Kenealy is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Diane Kenealy was last updated on August 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.