DIANA MARIE CUPP NP-C
NPI 1164965091
Nurse Practitioner - Family in Orange, CA

Active since November 26, 2016PECOS EnrolledAccepts Medicare Assignment
4000 W METROPOLITAN DR # 120, ORANGE, CA 92868(714) 972-3700 Get Directions Write a Review

NPPES record last updated: October 25, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 25, 2022, Jul 30, 2019, Nov 26, 2016 (3 updates tracked since 2016).

About Diana Marie Cupp Np-c NPPES

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

DIANA MARIE CUPP NP-C (NPI 1164965091) is an individual family provider in Orange, California, licensed in California (95005458) and active in the NPI registry since November 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Anaheim, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1164965091
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDIANA MARIE CUPPCredential: NP-C
Location Address4000 W METROPOLITAN DR # 120Orange, CA 92868-3504
Mailing Address4000 W Metropolitan Dr # 120Orange, CA 92868-3504 · (714) 972-3700
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateNovember 26, 2016
Last NPPES UpdateOctober 25, 20223 updates tracked since enumeration
NPPES CertifiedOctober 24, 2022
NPI 1164965091 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 CA · 95005458
4000 W METROPOLITAN DR # 120, Orange, CA 92868

Other Names 1

Former Name (1)Diana Marie Wohlt

Secondary Practice Location 1

Location 12035 E Ball Rd Ste 200Anaheim, CA 92806-5157 · Phone (714) 635-9680

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 Marie Cupp Np-c 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 ID345520938
PECOS Enrollment IDI20161219000879
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 92868 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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 13

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

Marriage & Family Therapist
4000 W METROPOLITAN DR # 120
ORANGE, CA 92868
Marriage & Family Therapist
4000 W METROPOLITAN DR # 120
ORANGE, CA 92868
Marriage & Family Therapist
4000 W METROPOLITAN DR # 120
ORANGE, CA 92868
Marriage & Family Therapist
4000 W METROPOLITAN DR # 120
ORANGE, CA 92868
Social Worker
4000 W METROPOLITAN DR # 120
ORANGE, CA 92868
Social Worker (Clinical)
4000 W METROPOLITAN DR # 120
ORANGE, CA 92868
Social Worker
4000 W METROPOLITAN DR # 120
ORANGE, CA 92868
Social Worker (Clinical)
4000 W METROPOLITAN DR # 120
ORANGE, CA 92868

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164965091, enumerated as an "individual" on November 26, 2016.

The provider is located at 4000 W METROPOLITAN DR # 120 ORANGE, CA 92868 and the phone number is (714) 972-3700.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.