DIANA MARIA ALTER AGACNP-BC
NPI 1255910055
Nurse Practitioner in Phoenix, AZ

Active since April 07, 2021PECOS EnrolledAccepts Medicare Assignment
78.58/100
CMS Quality Rating
5777 E MAYO BLVD, PHOENIX, AZ 85054(480) 301-6874 Get Directions Write a Review

NPPES record last updated: January 11, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 11, 2023, Aug 10, 2021, May 4, 2021 and 1 more (4 updates tracked since 2021).

About Diana Maria Alter Agacnp-bc NPPES

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

DIANA MARIA ALTER AGACNP-BC (NPI 1255910055) is an individual nurse practitioner in Phoenix, Arizona, licensed in Arizona (256392) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1255910055
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameDIANA MARIA ALTERCredential: AGACNP-BC
Location Address5777 E MAYO BLVDPhoenix, AZ 85054-4502
Mailing Address200 1st St SwRochester, MN 55905-0001 · (480) 515-6296
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateApril 7, 2021
Last NPPES UpdateJanuary 11, 20234 updates tracked since enumeration
NPPES CertifiedJanuary 11, 2023
NPI 1255910055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in AZ · 256392
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 256392 (AZ)
5777 E MAYO BLVD, Phoenix, AZ 85054

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Diana Maria Alter Agacnp-bc 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 ID9133538481
PECOS Enrollment IDI20210518000000
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
29 services24 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
24 services23 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85054 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

78.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.05
Promoting Interoperability100
Improvement Activities40
Cost59.56

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
18 suppliers129 claims12,105 services$0.30 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
11 suppliers72 claims8,220 services$0.19 avg. paid by Medicare
Mycophenolic acid, oral, 180 mg J7518
Treatment-Treatment - Miscellaneous · category RX029N
3 suppliers33 claims4,320 services$0.96 avg. paid by Medicare
Sirolimus, oral, 1 mg J7520
Treatment-Treatment - Miscellaneous · category RX029N
4 suppliers23 claims390 services$2.82 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
21 suppliers117 claims117 services$18.58 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
10 suppliers130 claims135 services$12.62 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Orthopaedic Surgery
5777 E MAYO BLVD
PHOENIX, AZ 85054
Physician Assistant
5777 E MAYO BLVD
PHOENIX, AZ 85054
Radiology (Diagnostic Radiology)
5777 E MAYO BLVD
PHOENIX, AZ 85054
Social Worker
5777 E MAYO BLVD
PHOENIX, AZ 85054
Clinical Nurse Specialist
5777 E MAYO BLVD
PHOENIX, AZ 85054
Emergency Medicine
5777 E MAYO BLVD
PHOENIX, AZ 85054
Physician Assistant
5777 E MAYO BLVD
PHOENIX, AZ 85054
Radiology (Diagnostic Radiology)
5777 E MAYO BLVD
PHOENIX, AZ 85054

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 Alter's NPI number?

The NPI number for Diana Alter is 1255910055. It was assigned to this individual provider in the NPPES registry on April 7, 2021.

Where is Diana Alter located?

Diana Alter practices at 5777 E Mayo Blvd, Phoenix, AZ 85054. The listed phone number is (480) 301-6874.

What is Diana Alter's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Diana Alter enrolled in Medicare?

Yes. Diana Alter 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.

When was this NPI record last updated?

The NPPES record for Diana Alter was last updated on January 11, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.