DIANE LOUISE SHOLDER CRNP
NPI 1528319555
Nurse Practitioner - Adult Health in Williamsport, PA

Active since October 01, 2012PECOS EnrolledAccepts Medicare Assignment
81.54/100
CMS Quality Rating
1100 GRAMPIAN BLVD, WILLIAMSPORT, PA 17701(570) 326-8200(570) 320-7540 Get Directions Write a Review

NPPES record last updated: October 31, 2012. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Diane Louise Sholder Crnp NPPES

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

DIANE LOUISE SHOLDER CRNP (NPI 1528319555) is an individual adult health provider in Williamsport, Pennsylvania, licensed in Pennsylvania (SP012194) and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS, is affiliated with Upmc Williamsport, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1528319555
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameDIANE LOUISE SHOLDERCredential: CRNP
Location Address1100 GRAMPIAN BLVDWilliamsport, PA 17701-1909
Mailing Address1201 Grampian Blvd, Suite 1kWilliamsport, PA 17701-1900 · (570) 326-8200 · Fax (570) 320-7540
Fax(570) 320-7540
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateOctober 1, 2012
Last NPPES UpdateOctober 31, 2012
NPI 1528319555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in PA · SP012194
1100 GRAMPIAN BLVD, Williamsport, PA 17701

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

Diane Louise Sholder Crnp 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 ID3779734728
PECOS Enrollment IDI20121121000468
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 4

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
380 services347 patients
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.
25 services25 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
24 services23 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
23 services23 patients

Hospital Affiliations CMS Care Compare

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

Upmc Williamsport

Acute Care Hospitals · Williamsport, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390045
Location700 High StreetWilliamsport, PA 17701 · Lycoming County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17701 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

81.54/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.04
Promoting Interoperability100
Improvement Activities40
Cost63.42

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.

Registered Nurse
1100 GRAMPIAN BLVD
WILLIAMSPORT, PA 17701
Physician Assistant
1100 GRAMPIAN BLVD
WILLIAMSPORT, PA 17701
Nurse Practitioner
1100 GRAMPIAN BLVD
WILLIAMSPORT, PA 17701
Home Health
1100 GRAMPIAN BLVD
WILLIAMSPORT, PA 17701
Pain Medicine (Pain Medicine)
1100 GRAMPIAN BLVD
WILLIAMSPORT, PA 17701
Registered Nurse
1100 GRAMPIAN BLVD, 4 SOUTH
WILLIAMSPORT, PA 17701
Plastic Surgery
1100 GRAMPIAN BLVD
WILLIAMSPORT, PA 17701
Surgery (Hospice and Palliative Medicine)
1100 GRAMPIAN BLVD
WILLIAMSPORT, PA 17701

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 Sholder's NPI number?

The NPI number for Diane Sholder is 1528319555. It was assigned to this individual provider in the NPPES registry on October 1, 2012.

Where is Diane Sholder located?

Diane Sholder practices at 1100 Grampian Blvd, Williamsport, PA 17701. The listed phone number is (570) 326-8200.

What is Diane Sholder's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Diane Sholder enrolled in Medicare?

Yes. Diane Sholder 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 Diane Sholder affiliated with any hospitals?

According to CMS data, Diane Sholder is affiliated with Upmc Williamsport.

When was this NPI record last updated?

The NPPES record for Diane Sholder was last updated on October 31, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.