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MRS. DIANA L. PAONE APN
NPI 1417503012
Nurse Practitioner in Toms River, NJ

Active since August 11, 2019PECOS EnrolledAccepts Medicare Assignment
95.3/100
CMS Quality Rating
67 ROUTE 37 W, TOMS RIVER, NJ 08755(732) 680-9737 Get Directions Write a Review

NPPES record last updated: April 9, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 9, 2026, Aug 11, 2019 (2 updates tracked since 2019).

About Mrs. Diana L. Paone Apn NPPES

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

MRS. DIANA L. PAONE APN (NPI 1417503012) is an individual nurse practitioner in Toms River, New Jersey, licensed in New Jersey (26NJ00940600) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS, is affiliated with Deborah Heart And Lung Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1417503012
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. DIANA L. PAONECredential: APN
Location Address67 ROUTE 37 WToms River, NJ 08755-6400
Mailing Address67 Route 37 WToms River, NJ 08755-6400 · (732) 608-9737
Phone(732) 680-9737
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateAugust 11, 2019
Last NPPES UpdateApril 9, 20262 updates tracked since enumeration
NPPES CertifiedApril 9, 2026
✔ NPI 1417503012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NJ · 26NJ00940600
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.
67 ROUTE 37 W, Toms River, NJ 08755
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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

Mrs. Diana L. Paone Apn 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 ID4880926674
PECOS Enrollment IDI20191028003044
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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
179 services164 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
21 services21 patients
Programming of dual lead pacemaker system 93280
Programming of a dual lead pacemaker system is a procedure to adjust your heart's pacemaker settings. This process involves a small device, called a programmer, that communicates with your pacemaker to ensure it's working optimally for your heart's needs.
18 services18 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Deborah Heart And Lung Center

Acute Care Hospitals · Browns Mills, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310031
Location200 Trenton RoadBrowns Mills, NJ 08015 · Burlington County

Community Medical Center

Acute Care Hospitals · Toms River, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310041
Location99 Rt 37 WestToms River, NJ 08755 · Ocean County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08755 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
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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.

95.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality96.47
Promoting Interoperability99
Improvement Activities40
Cost82.55

Other Providers at the Same Location NPPES 8

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

CORINNE ROCK MALMBERG APN-C
Nurse Practitioner (Primary Care)
67 ROUTE 37 W, RIVERWOOD II
TOMS RIVER, NJ 08755
Ocean County (732) 557-3530
GEENA MARIAM CHACKO MD
Internal Medicine (Hematology & Oncology)
67 ROUTE 37 W
TOMS RIVER, NJ 08755
Ocean County (732) 557-7107
CENTRAL OCEAN EKG ASSOCIATES, PA
Internal Medicine (Cardiovascular Disease)
67 ROUTE 37 W
TOMS RIVER, NJ 08755
Ocean County (732) 557-7160
DANIELA FRANKOVA MD
Internal Medicine
67 ROUTE 37 W
TOMS RIVER, NJ 08755
Ocean County (732) 557-2831
UROLOGIC HEALTH CENTER OF NJ PC
Non-Pharmacy Dispensing Site
67 ROUTE 37 W
TOMS RIVER, NJ 08755
Ocean County (732) 914-1300
VICTOR JOHN FERLISE MD
Urology
67 ROUTE 37 W, RIVERWOOD 2 SUITE 1
TOMS RIVER, NJ 08755
Ocean County (732) 914-1300
DR. LOURDES R LARAYA CUASAY MD
Pediatrics (Pediatric Pulmonology)
67 ROUTE 37 W, RIVERWOOD II BLDG. 3RD FLOOR
TOMS RIVER, NJ 08755
Ocean County (732) 557-3541
MR. JAMES S. MCCAUGHAN M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
67 ROUTE 37 W, RIVERWOOD BUILDING # 2
TOMS RIVER, NJ 08755
Ocean County (732) 577-8558

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 Paone's NPI number?

The NPI number for Diana Paone is 1417503012. It was assigned to this individual provider in the NPPES registry on August 11, 2019.

Where is Diana Paone located?

Diana Paone practices at 67 Route 37 W, Toms River, NJ 08755. The listed phone number is (732) 680-9737.

What is Diana Paone's specialty?

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

Is Diana Paone enrolled in Medicare?

Yes. Diana Paone 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.

Is Diana Paone affiliated with any hospitals?

According to CMS data, Diana Paone is affiliated with Deborah Heart And Lung Center and Community Medical Center.

When was this NPI record last updated?

The NPPES record for Diana Paone was last updated on April 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.