DIANE GOEDECKE FNP - NPI 1205940293 - Nurse Practitioner in Tucson, AZ

Q: What is Diane Goedecke's NPI number?

The NPI number for Diane Goedecke is 1205940293. It was assigned to this individual provider in the NPPES registry on August 18, 2006.

Q: What is Diane Goedecke's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Diane Goedecke was last updated on September 24, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

On this page

About Diane Goedecke Fnp NPPES

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

DIANE GOEDECKE FNP (NPI 1205940293) is an individual family provider in Tucson, Arizona, licensed in Arizona (RN044164) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1205940293

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameDIANE GOEDECKECredential: FNP

Location Address6130 N LA CHOLLA BLVD STE 250Tucson, AZ 85741-3698

Mailing Address6130 N La Cholla Blvd Ste 250Tucson, AZ 85741-3698 · (520) 219-8690

Phone(520) 219-8690

Sole ProprietorNo

Enumeration DateAugust 18, 2006

Last NPPES UpdateSeptember 24, 20203 updates tracked since enumeration

NPPES CertifiedSeptember 24, 2020

✔ NPI 1205940293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in AZ · RN044164

Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License RN044164 (AZ)

6130 N LA CHOLLA BLVD STE 250, Tucson, AZ 85741

Open in Google Maps ↗

Secondary Practice Locations 2

Location 111835 N Sage Brook RdOro Valley, AZ 85737-7348 · Phone (520) 906-2520

Location 23832 E Speedway BlvdTucson, AZ 85716-4039 · Phone (520) 323-3923

Other Identifiers 1

Medicaid494253AZ

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Diane Goedecke 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 85741 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

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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 6

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

BRIDGET WAGNER RDN

Dietitian, Registered