ANN MARIE DIANA PA-C
NPI 1386605376
Physician Assistant - Surgical in Tulsa, OK

Q: What is the provider's specialty?

The provider's specialty is Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.

Active since March 29, 2006PECOS Enrolled

5801 E 41ST ST STE 900, TULSA, OK 74135(918) 747-4975(918) 743-8552 Get Directions Write a Review

NPPES record last updated: July 13, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Ann Marie Diana Pa-c NPPES

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

ANN MARIE DIANA PA-C (NPI 1386605376) is an individual surgical provider in Tulsa, Oklahoma, licensed in Oklahoma (1450) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386605376

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameANN MARIE DIANACredential: PA-C

Location Address5801 E 41ST ST STE 900Tulsa, OK 74135-5631

Mailing AddressPo Box 4930Tulsa, OK 74159-0930 · (918) 747-4975 · Fax (918) 743-8552

Phone(918) 747-4975

Fax(918) 743-8552

Sole ProprietorNo

Enumeration DateMarch 29, 2006

Last NPPES UpdateJuly 13, 2022

NPPES CertifiedJuly 13, 2022

✔ NPI 1386605376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in OK · 1450

5801 E 41ST ST STE 900, Tulsa, OK 74135

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Other Identifiers 1

Medicaid200058610AOK

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ann Marie Diana Pa-c 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.