DR. DIANE M KEDZIERSKI PH.D.
NPI 1497131544
Psychologist in Ocala, FL

Active since July 30, 2015PECOS Enrolled
10768 SW 67TH TER, OCALA, FL 34476(352) 300-0321(352) 509-4257 Get Directions Write a Review

NPPES record last updated: July 11, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 11, 2023, Aug 13, 2020, Mar 24, 2017 (3 updates tracked since 2017).

About Dr. Diane M Kedzierski Ph.d. NPPES

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

DR. DIANE M KEDZIERSKI PH.D. (NPI 1497131544) is an individual psychologist in Ocala, Florida, licensed in Florida (PY9729) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497131544
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. DIANE M KEDZIERSKICredential: PH.D.
Location Address10768 SW 67TH TEROcala, FL 34476-4761
Mailing Address10768 Sw 67th TerOcala, FL 34476-4761 · (352) 300-0321 · Fax (352) 509-4257
Fax(352) 509-4257
Sole ProprietorYes
Enumeration DateJuly 30, 2015
Last NPPES UpdateJuly 11, 20233 updates tracked since enumeration
NPPES CertifiedJuly 11, 2023
✔ NPI 1497131544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Licenses✔ Licensed in FL · PY9729✔ Licensed in MD · B1-0011401
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
10768 SW 67TH TER, Ocala, FL 34476

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Diane M Kedzierski Ph.d. 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

3

Medicare enrollment records show Diane Kedzierski reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychiatry
3200 SW 34TH AVE STE 701
Ocala, FL 34474
  • Reassigned Medicare billing, Florida enrollment
  • 369 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
12271 US HIGHWAY 301 N
Parrish, FL 34219
  • Reassigned Medicare billing, Florida enrollment
  • 709 clinicians in this Medicare group
Mental Health (Including Community Mental Health Center)
11120 S CROWN WAY STE 1
Wellington, FL 33414
  • Reassigned Medicare billing, Florida enrollment
  • 194 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Diane Kedzierski's NPI number?

The NPI number for Diane Kedzierski is 1497131544. It was assigned to this individual provider in the NPPES registry on July 30, 2015.

Where is Diane Kedzierski located?

Diane Kedzierski practices at 10768 SW 67th Ter, Ocala, FL 34476. The listed phone number is (352) 300-0321.

What is Diane Kedzierski's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Diane Kedzierski enrolled in Medicare?

Yes. Diane Kedzierski is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Diane Kedzierski's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Diane Kedzierski reassigns Medicare benefits to 3 organizations: Balanced Wellbeing LLC (Ocala, FL), Mcr Health, Inc. (Parrish, FL) and Cotler Healthcare & Development Inc. (Wellington, FL). 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 Diane Kedzierski's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Diane Kedzierski accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and UnitedHealthcare list Diane Kedzierski 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 Diane Kedzierski was last updated on July 11, 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.