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DIANA GILMORE FNP
NPI 1174241756
Nurse Practitioner - Family in Pocatello, ID

Active since August 18, 2022PECOS Enrolled
1125 W ALAMEDA RD, POCATELLO, ID 83201(208) 739-9961(208) 739-9961 Get Directions Write a Review

NPPES record last updated: January 22, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jan 11, 2023, Sep 14, 2022, Aug 18, 2022 (3 updates tracked since 2022).

About Diana Gilmore Fnp NPPES

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

DIANA GILMORE FNP (NPI 1174241756) is an individual family provider in Pocatello, Idaho, licensed in Idaho (73773) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1174241756
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDIANA GILMORECredential: FNP
Location Address1125 W ALAMEDA RDPocatello, ID 83201-6143
Mailing Address125 N 8th WSaint Anthony, ID 83445-1339
Phone(208) 739-9961
Fax(208) 739-9961
Sole ProprietorYes
Enumeration DateAugust 18, 2022
Last NPPES UpdateJanuary 22, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 22, 2025
✔ NPI 1174241756 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 ID · 73773
1125 W ALAMEDA RD, Pocatello, ID 83201
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1125 N 8th WSaint Anthony, ID 83445-1339 · Phone (208) 624-3775
Location 21525 Addison Ave E Ste A2Twin Falls, ID 83301-5300 · Phone (208) 739-9961 · Fax (208) 739-9962

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Diana Gilmore Fnp 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 83201 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
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 4

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

CHRISTOPHER C SHIELDS MD
Emergency Medicine (Undersea and Hyperbaric Medicine)
1125 W ALAMEDA RD
POCATELLO, ID 83201
Bannock County (208) 237-1151
CHARLES O GARRISON MD
Emergency Medicine (Undersea and Hyperbaric Medicine)
1125 W ALAMEDA RD
POCATELLO, ID 83201
Bannock County (208) 237-1151
IDAHO HYPERBARICS INC
Emergency Medicine (Undersea and Hyperbaric Medicine)
1125 W ALAMEDA RD
POCATELLO, ID 83201
Bannock County (208) 237-1151
MICHAEL J GREGSON MD
Emergency Medicine (Undersea and Hyperbaric Medicine)
1125 W ALAMEDA RD
POCATELLO, ID 83201
Bannock County (208) 237-1151

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 Gilmore's NPI number?

The NPI number for Diana Gilmore is 1174241756. It was assigned to this individual provider in the NPPES registry on August 18, 2022.

Where is Diana Gilmore located?

Diana Gilmore practices at 1125 W Alameda Rd, Pocatello, ID 83201. The listed phone number is (208) 739-9961.

What is Diana Gilmore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Diana Gilmore enrolled in Medicare?

Yes. Diana Gilmore is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Diana Gilmore was last updated on January 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.