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DIANNA WALLER WADSWORTH FNP
NPI 1386990463
Clinical Nurse Specialist - Family Health in Slidell, LA

Active since July 26, 2012PECOS Enrolled
1051 GAUSE BLVD, SUITE 380, SLIDELL, LA 70458(985) 641-8191(985) 641-9812 Get Directions Write a Review

NPPES record last updated: July 26, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dianna Waller Wadsworth Fnp NPPES

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

DIANNA WALLER WADSWORTH FNP (NPI 1386990463) is an individual family health provider in Slidell, Louisiana, licensed in Louisiana (AP06883) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386990463
Entity TypeIndividualFemale
Primary Taxonomy364SF0001X
Provider Legal NameDIANNA WALLER WADSWORTHCredential: FNP
Location Address1051 GAUSE BLVD, SUITE 380Slidell, LA 70458-2951
Mailing Address1375 Corporate Square DrSlidell, LA 70458-3147 · (985) 649-1152 · Fax (985) 643-9808
Phone(985) 641-8191
Fax(985) 641-9812
Sole ProprietorNo
Enumeration DateJuly 26, 2012
✔ NPI 1386990463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse Specialist · Family HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SF0001X
License✔ Licensed in LA · AP06883
1051 GAUSE BLVD, Slidell, LA 70458
Open in Google Maps ↗

Other Names 1

Former Name (1)Dianna Mary Waller

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dianna Waller Wadsworth 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Dianna Wadsworth reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Provider Profile
Same address
Family Medicine
1051 GAUSE BLVD, SUITE 380
Slidell, LA 70458
  • Reassigned Medicare billing, Louisiana enrollment
  • 2 clinicians in this Medicare group
NPI 1508855198 (985) 641-8191
Van Meter Emergency Physicians Inc. Apmc
21 mi
Emergency Medicine
95 E FAIRWAY DR
Covington, LA 70433
  • Reassigned Medicare billing, Louisiana enrollment
  • 159 clinicians in this Medicare group
NPI 1649410697 (985) 867-4000

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 70458 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
$124.60 typical visit price
range $53.43 – $164.73
Typical copayment $31.15 (range $13.35 – $41.18)
Most-billed visit code 99204
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
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 20

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

MR. STEPHEN W BAKER MD
Internal Medicine
1051 GAUSE BLVD, SUITE 230
SLIDEL, LA 70458
St. Tammany Parish (985) 641-7577
ADESH K JAIN MD
Internal Medicine
1051 GAUSE BLVD, SUITE 330
SLIDELL, LA 70458
St. Tammany Parish (985) 847-1090
DR. WILLIAM JEFFREY LONG MD
Internal Medicine (Cardiovascular Disease)
1051 GAUSE BLVD, STE 320
SLIDELL, LA 70458
St. Tammany Parish (985) 726-2655
DR. JOSEPH A PEDONE MD
Internal Medicine (Cardiovascular Disease)
1051 GAUSE BLVD
SLIDELL, LA 70458
St. Tammany Parish (985) 641-7577
ROBERT V SHAFOR, MD
Surgery
1051 GAUSE BLVD, SUITE 260
SLIDELL, LA 70458
St. Tammany Parish (985) 781-9004
GREGORY L GROGLIO MD A PROFESSIONAL MEDICAL CORPORATION
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1051 GAUSE BLVD, SUITE 290
SLIDELL, LA 70458
St. Tammany Parish (985) 726-0026
ASHTON TAYLOR HILTON M.D.
Dermatology (Clinical & Laboratory Dermatological Immunology)
1051 GAUSE BLVD, SUITE 460
SLIDELL, LA 70458
St. Tammany Parish (985) 649-5880
CLINTON H. SHARP, III, M.D
Family Medicine
1051 GAUSE BLVD, SUITE 380
SLIDELL, LA 70458
St. Tammany Parish (985) 641-8191

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 Dianna Wadsworth's NPI number?

The NPI number for Dianna Wadsworth is 1386990463. It was assigned to this individual provider in the NPPES registry on July 26, 2012. The provider is also known as Dianna Mary Waller.

Where is Dianna Wadsworth located?

Dianna Wadsworth practices at 1051 Gause Blvd Suite 380, Slidell, LA 70458. The listed phone number is (985) 641-8191.

What is Dianna Wadsworth's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Family Health, with taxonomy code 364SF0001X.

Is Dianna Wadsworth enrolled in Medicare?

Yes. Dianna Wadsworth is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Dianna Wadsworth's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dianna Wadsworth reassigns Medicare benefits to 2 organizations: (Slidell, LA) and Van Meter Emergency Physicians Inc. Apmc (Covington, LA). 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 Dianna Wadsworth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Dianna Wadsworth was last updated on July 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.