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MRS. DIANA L CHARLEBOIS MSN-FNP
NPI 1386160125
Nurse Practitioner - Family in Portage, WI

Active since August 14, 2017Opted out of Medicare · through Jul 8, 2027
2817 NEW PINERY ROAD, PORTAGE, WI 53901(608) 745-4693(608) 745-6098 Get Directions Write a Review

NPPES record last updated: April 28, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Aug 14, 2017 (2 updates tracked since 2017).

About Mrs. Diana L Charlebois Msn-fnp NPPES

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

MRS. DIANA L CHARLEBOIS MSN-FNP (NPI 1386160125) is an individual family provider in Portage, Wisconsin, licensed in Wisconsin (7884) and active in the NPI registry since August 2017. She has opted out of Medicare through July 8, 2027 and remains eligible to order and refer and maintains a secondary practice location in Portage.

NPPES Registry Identity

NPI1386160125
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. DIANA L CHARLEBOISCredential: MSN-FNP
Location Address2817 NEW PINERY ROADPortage, WI 53901
Mailing Address2817 New Pinery RdPortage, WI 53901-9240 · (608) 745-4693 · Fax (608) 745-6098
Phone(608) 745-4693
Fax(608) 745-6098
Sole ProprietorNo
Enumeration DateAugust 14, 2017
Last NPPES UpdateApril 28, 20232 updates tracked since enumeration
NPPES CertifiedApril 28, 2023
✔ NPI 1386160125 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 WI · 7884
2817 NEW PINERY ROAD, Portage, WI 53901
Open in Google Maps ↗

Other Names 1

Former Name (1)Miss Diana L Poznanski

Secondary Practice Location 1

Location 12825 Hunters TrlPortage, WI 53901-3429 · Phone (608) 742-7161 · Fax (608) 745-3990

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mrs. Diana L Charlebois Msn-fnp has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 8, 2025 through July 8, 2027.

Opt-Out Effective DateJuly 8, 2025
Opt-Out In Effect ThroughJuly 8, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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.

Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
47 services27 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
31 services27 patients
Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes 99345
A new patient home visit is a comprehensive 75-minute appointment conducted at your home. The healthcare professional will assess your health, discuss any concerns, and create a personalized care plan. It's convenient, comfortable, and tailored to your specific needs.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53901 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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 9

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

MRS. LORI A SCHUMANN PT
Physical Therapist
2817 NEW PINERY ROAD, DIVINE SAVIOR HEALTHCARE
PORTAGE, WI 53901
Columbia County (608) 745-5063
DR. ROBERT VINCENT CASTROVINCI M.D.
Ophthalmology
2817 NEW PINERY ROAD
PORTAGE, WI 53901
Columbia County (608) 745-5600
MR. JAMES M SWAN JR. APNP
Nurse Practitioner
2817 NEW PINERY ROAD, DIVINE SAVIOR HEALTHCARE INC
PORTAGE, WI 53901
Columbia County (608) 742-4131
DIVINE SAVIOR HEALTHCARE INC
Home Health
2817 NEW PINERY ROAD, DIVINE SAVIOR HEALTHCARE INC
PORTAGE, WI 53901
Columbia County (608) 742-4131
CAROL ADA PIERCE MD
Surgery
2817 NEW PINERY ROAD, DIVINE SAVIOR HEALTHCARE INC
PORTAGE, WI 53901
Columbia County (608) 742-4131
LEONAS PRANAS SULAS MD
Urology
2817 NEW PINERY ROAD, DIVINE SAVIOR HEALTHCARE
PORTAGE, WI 53901
Columbia County (608) 745-5603
DR. ROBERT A. HENRY JR. D.O.
Family Medicine
2817 NEW PINERY ROAD
PORTAGE, WI 53901
Columbia County (608) 742-4131
DIVINE SAVIOR HEALTHCARE, INC.
Pharmacy (Long Term Care Pharmacy)
2817 NEW PINERY ROAD
PORTAGE, WI 53901
Columbia County (608) 745-5603

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 Charlebois's NPI number?

The NPI number for Diana Charlebois is 1386160125. It was assigned to this individual provider in the NPPES registry on August 14, 2017. The provider is also known as Miss Diana L Poznanski.

Where is Diana Charlebois located?

Diana Charlebois practices at 2817 New Pinery Road, Portage, WI 53901. The listed phone number is (608) 745-4693.

What is Diana Charlebois's specialty?

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

Is Diana Charlebois enrolled in Medicare?

No. Diana Charlebois has opted out of Medicare through July 8, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Diana Charlebois was last updated on April 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.