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

GUILLERMO DIAZ NP-P
NPI 1164975801
Nurse Practitioner - Psychiatric/Mental Health in Hicksville, NY

Active since July 29, 2016PECOS EnrolledAccepts Medicare Assignment
185 W JOHN ST # 113, HICKSVILLE, NY 11801(646) 856-9971(516) 531-8539 Get Directions Write a Review

NPPES record last updated: October 12, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 12, 2026, Sep 5, 2025, Aug 6, 2025 and 2 more (5 updates tracked since 2019).

About Guillermo Diaz Np-p NPPES

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

GUILLERMO DIAZ NP-P (NPI 1164975801) is an individual psychiatric/mental health provider in Hicksville, New York, licensed in New York (402068) and active in the NPI registry since July 2016. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1164975801
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameGUILLERMO DIAZCredential: NP-P
Location Address185 W JOHN ST # 113Hicksville, NY 11801-1007
Mailing Address185 W John St # 113Hicksville, NY 11801-1007 · (646) 856-9971 · Fax (516) 531-8539
Fax(516) 531-8539
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJuly 29, 2016
Last NPPES UpdateOctober 12, 20265 updates tracked since enumeration
NPPES CertifiedOctober 12, 2026
✔ NPI 1164975801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NY · 402068
185 W JOHN ST # 113, Hicksville, NY 11801

Secondary Practice Locations 3

Location 11053 Farmington Ave # 129Farmington, CT 06032-1574 · Phone (646) 856-9971
Location 2600 S 21st StColorado Springs, CO 80904-3762 · Phone (646) 856-9971
Location 31985 Marcus Ave Ste 110New Hyde Park, NY 11042-2024 · Phone (855) 201-4988

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Guillermo Diaz Np-p 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 ID8921383753
PECOS Enrollment IDI20260604002306
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

2

Medicare enrollment records show Guillermo Diaz reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinical
1400 HOOPER AVE STE 2
Toms River, NJ 08753
  • Reassigned Medicare billing, New York enrollment
  • 62 clinicians in this Medicare group
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Colorado, Connecticut and New York enrollments
  • 504 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11801 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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

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

Nurse Practitioner (Psychiatric/Mental Health)
185 W JOHN ST # 113
HICKSVILLE, NY 11801

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 Guillermo Diaz's NPI number?

The NPI number for Guillermo Diaz is 1164975801. It was assigned to this individual provider in the NPPES registry on July 29, 2016.

Where is Guillermo Diaz located?

Guillermo Diaz practices at 185 W John St # 113, Hicksville, NY 11801. The listed phone number is (646) 856-9971.

What is Guillermo Diaz's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Guillermo Diaz enrolled in Medicare?

Yes. Guillermo Diaz is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Guillermo Diaz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Guillermo Diaz reassigns Medicare benefits to 2 organizations: Wagner Medical PC (Toms River, NJ) and Grow Healthcare Group PA (Miami, FL). 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 Guillermo Diaz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Guillermo Diaz accept?

Health plans from Anthem Blue Cross and Blue Shield list Guillermo Diaz 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 Guillermo Diaz was last updated on October 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.