CONNIE DIEP PMHNP
NPI 1174008536
Nurse Practitioner - Psychiatric/Mental Health in Medford, MA

Q: What is Connie Diep's NPI number?

The NPI number for Connie Diep is 1174008536. It was assigned to this individual provider in the NPPES registry on October 1, 2018.

Q: What is Connie Diep's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Connie Diep was last updated on October 1, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since October 01, 2018PECOS Enrolled

26 CITY HALL MALL, MEDFORD, MA 02155(781) 306-5100 Get Directions Write a Review

NPPES record last updated: October 1, 2018. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Connie Diep Pmhnp NPPES

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

CONNIE DIEP PMHNP (NPI 1174008536) is an individual psychiatric/mental health provider in Medford, Massachusetts, licensed in Massachusetts (RN2312752) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174008536

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameCONNIE DIEPCredential: PMHNP

Location Address26 CITY HALL MALLMedford, MA 02155-4754

Mailing Address620 Cambridge St Apt 3Cambridge, MA 02141-1133 · (774) 242-0506

Phone(781) 306-5100

Sole ProprietorNo

Enumeration DateOctober 1, 2018

✔ NPI 1174008536 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 MA · RN2312752

26 CITY HALL MALL, Medford, MA 02155

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Connie Diep Pmhnp 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 02155 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

$97.64 typical visit price

range $63.72 – $189.86

Typical copayment $24.41 (range $15.93 – $47.46)

Most-billed visit code 99203

Established Patient

$111.18 typical visit price

range $21.07 – $155.29

Typical copayment $27.79 (range $5.26 – $38.82)

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.

MARTHA B. BARGMANN CCC-SLP

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