DIANA LYNN ANDOLINA PNP
NPI 1174090716
Nurse Practitioner - Pediatrics in Rochester, NY
About Diana Lynn Andolina Pnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DIANA LYNN ANDOLINA PNP (NPI 1174090716) is an individual pediatrics provider in Rochester, New York, licensed in New York (382962) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Rochester.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Diana Lynn Andolina Pnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Diana Andolina reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Rochester, NY 14642
- Reassigned Medicare billing, New York enrollment
- 88 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 14624 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ROCHESTER, NY 14624
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 Andolina's NPI number?
The NPI number for Diana Andolina is 1174090716. It was assigned to this individual provider in the NPPES registry on November 1, 2018.
Where is Diana Andolina located?
Diana Andolina practices at 900 Elmgrove Rd, Rochester, NY 14624. The listed phone number is (585) 426-4100.
What is Diana Andolina's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Diana Andolina enrolled in Medicare?
Yes. Diana Andolina is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Diana Andolina's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Diana Andolina reassigns Medicare benefits to Pediatric Group Univ Of Rochester (Rochester, NY). The 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 Andolina'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 Andolina was last updated on September 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Diana Lynn Andolina, PNP · NPI 1174090716
Pediatrics physician in Rochester, New York. Individual provider, active in the CMS NPPES registry since November 1, 2018.
## Identity
- **NPI:** 1174090716 (Entity type: Individual)
- **Enumerated:** November 1, 2018
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** 382962 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 900 ELMGROVE RD, Rochester, NY 14624-6236
- **Phone:** (585) 426-4100
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Pediatric Group Univ Of Rochester (NPI 1083271787, Rochester, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 28, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1174090716) · Data from the CMS NPPES public registry.