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DIANA MICHELLE PETRUK PA-C
NPI 1598165243
Physician Assistant in Fort Lauderdale, FL

Active since August 31, 2014PECOS Enrolled
1600 S ANDREWS AVE, FORT LAUDERDALE, FL 33316(954) 355-4400 Get Directions Write a Review

NPPES record last updated: March 11, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Diana Michelle Petruk Pa-c NPPES

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

DIANA MICHELLE PETRUK PA-C (NPI 1598165243) is an individual physician assistant in Fort Lauderdale, Florida, licensed in Florida (PA9108430) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS and maintains a secondary practice location in Key West.

NPPES Registry Identity

NPI1598165243
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameDIANA MICHELLE PETRUKCredential: PA-C
Location Address1600 S ANDREWS AVEFort Lauderdale, FL 33316-2510
Mailing Address17 Sw 11th CtFort Lauderdale, FL 33315-1240 · (954) 663-2583
Phone(954) 355-4400
Sole ProprietorNo
Enumeration DateAugust 31, 2014
Last NPPES UpdateMarch 11, 2020
NPPES CertifiedMarch 11, 2020
✔ NPI 1598165243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in FL · PA9108430
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1600 S ANDREWS AVE, Fort Lauderdale, FL 33316
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Secondary Practice Location 1

Location 15900 College RdKey West, FL 33040-4342 · Phone (305) 294-5531

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan.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)

Diana Michelle Petruk Pa-c 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.

Areas of Expertise CMS Part B claims

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33316 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$73.00 typical visit price
range $18.44 – $144.68
Typical copayment $18.25 (range $4.61 – $36.17)
Most-billed visit code 99213
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.

DIANNE MATTOX PARKER M.D.
Pediatrics
1600 S ANDREWS AVE, NEWBORN NURSERY
FORT LAUDERDALE, FL 33316
Broward County (954) 355-5810
AKILAH FULLER PHARMD, MS
Pharmacist
1600 S ANDREWS AVE
FORT LAUDERDALE, FL 33316
Broward County (954) 355-4400
JACOB GOLDENBERG MD
Student in an Organized Health Care Education/Training Program
1600 S ANDREWS AVE
FORT LAUDERDALE, FL 33316
Broward County (954) 941-8300
TIFFANY SKYE SCULTHORPE DO, MS
Student in an Organized Health Care Education/Training Program
1600 S ANDREWS AVE
FORT LAUDERDALE, FL 33316
Broward County (954) 355-4400
JOHN BERNE MD
Surgery
1600 S ANDREWS AVE
FORT LAUDERDALE, FL 33316
Broward County (305) 918-7050
DR. EDUARDO A. OTERO M.D.
Pediatrics (Neonatal-Perinatal Medicine)
1600 S ANDREWS AVE, 4TH FLR NICU
FT LAUDERDALE, FL 33316
Broward County (954) 355-5870
WESTSIDE HOSPITALIST INC
Hospitalist
1600 S ANDREWS AVE
FORT LAUDERDALE, FL 33316
Broward County (954) 355-4400
PETER A. NAMNUM, MD, PA
Internal Medicine (Pulmonary Disease)
1600 S ANDREWS AVE
FORT LAUDERDALE, FL 33316
Broward County (954) 355-4400

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 Petruk's NPI number?

The NPI number for Diana Petruk is 1598165243. It was assigned to this individual provider in the NPPES registry on August 31, 2014.

Where is Diana Petruk located?

Diana Petruk practices at 1600 S Andrews Ave, Fort Lauderdale, FL 33316. The listed phone number is (954) 355-4400.

What is Diana Petruk's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Diana Petruk enrolled in Medicare?

Yes. Diana Petruk is registered in the Medicare PECOS enrollment system.

What insurance does Diana Petruk accept?

Health plans from Ambetter from Superior HealthPlan list Diana Petruk 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 Diana Petruk was last updated on March 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.