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DUSTIN DILLER
NPI 1467816934
Nurse Practitioner in Fort Wayne, IN

Active since April 11, 2016PECOS Enrolled
11141 PARKVIEW PLAZA DR STE 210, FORT WAYNE, IN 46845(260) 266-5400(260) 266-5409 Get Directions Write a Review

NPPES record last updated: October 3, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 3, 2018, May 9, 2016 (2 updates tracked since 2016).

About Dustin Diller NPPES

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

DUSTIN DILLER (NPI 1467816934) is an individual nurse practitioner in Fort Wayne, Indiana, licensed in Indiana (71006224A) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS and maintains a secondary practice location in Fort Wayne.

NPPES Registry Identity

NPI1467816934
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameDUSTIN DILLER
Location Address11141 PARKVIEW PLAZA DR STE 210Fort Wayne, IN 46845
Mailing Address3702 New Vision Dr Bldg BFort Wayne, IN 46845-1703
Phone(260) 266-5400
Fax(260) 266-5409
Sole ProprietorNo
Enumeration DateApril 11, 2016
Last NPPES UpdateOctober 3, 20182 updates tracked since enumeration
✔ NPI 1467816934 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 IN · 71006224A
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.
11141 PARKVIEW PLAZA DR STE 210, Fort Wayne, IN 46845
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Secondary Practice Location 1

Location 13512 Stellhorn RdFort Wayne, IN 46815-4631 · Phone (260) 483-9081 ext. 22 · Fax (260) 483-9196

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dustin Diller 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46845 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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 4

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

MISS AMANDA M LEISURE CPNP-AC/PC
Nurse Practitioner (Pediatrics)
11141 PARKVIEW PLAZA DR STE 210
FORT WAYNE, IN 46845
Allen County (260) 266-5400
RAYANNE SCHULTIS RDN
Dietitian, Registered
11141 PARKVIEW PLAZA DR STE 210
FORT WAYNE, IN 46845
Allen County (260) 266-9581
GINA CORONATO
Speech-Language Pathologist
11141 PARKVIEW PLAZA DR STE 210
FORT WAYNE, IN 46845
Allen County (260) 266-5400
LAURA JEAN LEINS LMHC
Counselor (Mental Health)
11141 PARKVIEW PLAZA DR STE 210
FORT WAYNE, IN 46845
Allen County (260) 266-5400

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 Dustin Diller's NPI number?

The NPI number for Dustin Diller is 1467816934. It was assigned to this individual provider in the NPPES registry on April 11, 2016.

Where is Dustin Diller located?

Dustin Diller practices at 11141 Parkview Plaza Dr Ste 210, Fort Wayne, IN 46845. The listed phone number is (260) 266-5400.

What is Dustin Diller's specialty?

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

Is Dustin Diller enrolled in Medicare?

Yes. Dustin Diller is registered in the Medicare PECOS enrollment system.

What insurance does Dustin Diller accept?

Health plans from CareSource list Dustin Diller as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dustin Diller was last updated on October 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.