DIANA CHARLSON
NPI 1689129116
Nurse Practitioner - Family in Sheridan, WY

Active since August 25, 2016PECOS EnrolledAccepts Medicare Assignment
80.86/100
CMS Quality Rating
61 S GOULD ST, SHERIDAN, WY 82801(307) 675-2690 Get Directions Write a Review

NPPES record last updated: October 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 8, 2024, Jan 19, 2023, May 12, 2021 and 2 more (5 updates tracked since 2016).

About Diana Charlson NPPES

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

DIANA CHARLSON (NPI 1689129116) is an individual family provider in Sheridan, Wyoming, licensed in Wyoming (27134.1541) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS, is affiliated with Billings Clinic, and maintains a secondary practice location in Sheridan.

NPPES Registry Identity

NPI1689129116
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDIANA CHARLSON
Location Address61 S GOULD STSheridan, WY 82801-6304
Mailing Address1333 W 5th St Ste 110Sheridan, WY 82801-2752 · (307) 675-2650 · Fax (307) 675-2651
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateAugust 25, 2016
Last NPPES UpdateOctober 17, 20255 updates tracked since enumeration
NPPES CertifiedOctober 17, 2025
NPI 1689129116 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in WY · 27134.1541
61 S GOULD ST, Sheridan, WY 82801

Secondary Practice Location 1

Location 11333 W 5th St Ste 112Sheridan, WY 82801-2752 · Phone (307) 675-2650 · Fax (307) 675-2651

Accepted Insurance

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

Diana Charlson 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 ID143518092
PECOS Enrollment IDI20161010002129
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 13

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.
488 services278 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.
441 services238 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
235 services235 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
171 services171 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
169 services169 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
68 services68 patients

Hospital Affiliations CMS Care Compare 2

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

Billings Clinic

Acute Care Hospitals · Billings, MT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number270004
Location2800 10th Ave NBillings, MT 59101 · Yellowstone County
Emergency services Birthing friendly

Sheridan Memorial Hospital

Acute Care Hospitals · Sheridan, WY
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number530006
Location1401 W 5th StSheridan, WY 82801 · Sheridan County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 82801 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
$87.12 typical visit price
range $56.42 – $170.72
Typical copayment $21.78 (range $14.10 – $42.68)
Most-billed visit code 99203
Established Patient
$99.46 typical visit price
range $18.19 – $139.32
Typical copayment $24.86 (range $4.54 – $34.83)
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.

80.86/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.83
Promoting Interoperability98
Improvement Activities40
Cost68.06

Referred Medical Equipment & Supplies CMS DME claims 22

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers47 claims121 services$6.42 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers16 claims16 services$0.88 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
2 suppliers41 claims41 services$41.60 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
2 suppliers42 claims42 services$117.61 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
2 suppliers41 claims101 services$44.40 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
2 suppliers37 claims187 services$21.90 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Internal Medicine
61 S GOULD ST
SHERIDAN, WY 82801
Nurse Practitioner (Family)
61 S GOULD ST
SHERIDAN, WY 82801
Family Medicine
61 S GOULD ST
SHERIDAN, WY 82801
Physician Assistant (Medical)
61 S GOULD ST
SHERIDAN, WY 82801
Physician Assistant (Medical)
61 S GOULD ST
SHERIDAN, WY 82801
Family Medicine
61 S GOULD ST
SHERIDAN, WY 82801
Nurse Practitioner (Family)
61 S GOULD ST
SHERIDAN, WY 82801
Internal Medicine
61 S GOULD ST
SHERIDAN, WY 82801

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 Charlson's NPI number?

The NPI number for Diana Charlson is 1689129116. It was assigned to this individual provider in the NPPES registry on August 25, 2016.

Where is Diana Charlson located?

Diana Charlson practices at 61 S Gould St, Sheridan, WY 82801. The listed phone number is (307) 675-2690.

What is Diana Charlson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Diana Charlson enrolled in Medicare?

Yes. Diana Charlson 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.

What insurance does Diana Charlson accept?

Health plans from Blue Cross Blue Shield of Wyoming and UnitedHealthcare list Diana Charlson 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.

Is Diana Charlson affiliated with any hospitals?

According to CMS data, Diana Charlson is affiliated with Billings Clinic and Sheridan Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Diana Charlson was last updated on October 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.