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DIONDRIA E INGRAM CNM
NPI 1205493194
Advanced Practice Midwife in Show Low, AZ

Active since May 25, 2019PECOS EnrolledAccepts Medicare Assignment
5171 S CUB LAKE RD STE 340, SHOW LOW, AZ 85901(480) 821-3600(480) 857-2667 Get Directions Write a Review

NPPES record last updated: April 11, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 11, 2025, Apr 4, 2023, Nov 18, 2022 and 3 more (6 updates tracked since 2019).

About Diondria E Ingram Cnm NPPES

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

DIONDRIA E INGRAM CNM (NPI 1205493194) is an individual advanced practice midwife in Show Low, Arizona, licensed in Arizona (322288) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1205493194
Entity TypeIndividualFemale
Primary Taxonomy367A00000X
Provider Legal NameDIONDRIA E INGRAMCredential: CNM
Location Address5171 S CUB LAKE RD STE 340Show Low, AZ 85901-7888
Mailing AddressPo Box 6730Chandler, AZ 85246-6730 · (480) 821-3600 · Fax (480) 857-2667
Phone(480) 821-3600
Fax(480) 857-2667
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMay 25, 2019
Last NPPES UpdateApril 11, 20256 updates tracked since enumeration
NPPES CertifiedApril 11, 2025
✔ NPI 1205493194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367A00000X
License✔ Licensed in AZ · 322288
Definition
Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.
5171 S CUB LAKE RD STE 340, Show Low, AZ 85901
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Blue Cross Blue Shield of Arizona and more.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

Diondria E Ingram Cnm 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 ID941607865
PECOS Enrollment IDI20250610003972
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

3

Medicare enrollment records show Diondria Ingram reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Momdoc, LLC
124 mi
Obstetrics & Gynecology
2055 W FRYE RD STE 9
Chandler, AZ 85224
  • Reassigned Medicare billing, Arizona enrollment
  • 52 clinicians in this Medicare group
NPI 1184780355 (480) 821-3600
Dhhs, Phs, Naihs, Shiprock Hospital
158 mi
General Acute Care Hospital
NAVAJO ROUTE 19
Toadlena, NM 87324
  • Reassigned Medicare billing, Texas enrollment
  • 572 clinicians in this Medicare group
NPI 1952526337 (505) 368-6001
Careconnect Health, Inc.
1,474 mi
Federally Qualified Health Center (FQHC)
510 ALSTON ST STE B
Richland, GA 31825
  • Reassigned Medicare billing, Georgia enrollment
  • 219 clinicians in this Medicare group
NPI 1063436624 (229) 887-3324

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 85901 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Diondria Ingram's NPI number?

The NPI number for Diondria Ingram is 1205493194. It was assigned to this individual provider in the NPPES registry on May 25, 2019.

Where is Diondria Ingram located?

Diondria Ingram practices at 5171 S Cub Lake Rd Ste 340, Show Low, AZ 85901. The listed phone number is (480) 821-3600.

What is Diondria Ingram's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Is Diondria Ingram enrolled in Medicare?

Yes. Diondria Ingram 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 Diondria Ingram's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Diondria Ingram reassigns Medicare benefits to 3 organizations: Momdoc, LLC (Chandler, AZ), Dhhs, Phs, Naihs, Shiprock Hospital (Toadlena, NM) and Careconnect Health, Inc. (Richland, GA). 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 Diondria Ingram's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Diondria Ingram accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc and UnitedHealthcare list Diondria Ingram 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 Diondria Ingram was last updated on April 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.