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DIANE M. BORCHELT APN
NPI 1710950068
Nurse Practitioner - Adult Health in Cincinnati, OH

Active since February 08, 2006PECOS EnrolledAccepts Medicare Assignment
4360 COOPER RD STE 300, CINCINNATI, OH 45242(513) 891-7700(513) 246-9125 Get Directions Write a Review

NPPES record last updated: December 23, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Diane M. Borchelt Apn NPPES

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

DIANE M. BORCHELT APN (NPI 1710950068) is an individual adult health provider in Cincinnati, Ohio, licensed in Ohio (09469) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Cincinnati, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1710950068
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameDIANE M. BORCHELTCredential: APN
Location Address4360 COOPER RD STE 300Cincinnati, OH 45242-5636
Mailing Address4360 Cooper Rd Ste 300Cincinnati, OH 45242-5636 · (513) 891-7700 · Fax (513) 246-9125
Phone(513) 891-7700
Fax(513) 246-9125
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateFebruary 8, 2006
Last NPPES UpdateDecember 23, 2025
NPPES CertifiedDecember 23, 2025
✔ NPI 1710950068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in OH · 09469
Also ListedRegistered NurseTaxonomy 163W00000X · License 331806 (OH)
4360 COOPER RD STE 300, Cincinnati, OH 45242
Open in Google Maps ↗

Secondary Practice Location 1

Location 1415 Straight St, 4th floorCincinnati, OH 45219-1060 · Phone (513) 559-2580 · Fax (513) 559-2596

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Diane M. Borchelt Apn 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 ID1355311622
PECOS Enrollment IDI20071213000453
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

4

Medicare enrollment records show Diane Borchelt reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hospice Of Cincinnati Incorporated
0.1 mi
Hospice Care, Community Based
4310 COOPER RD, SUITE 300
Cincinnati, OH 45242
  • Reassigned Medicare billing, Ohio enrollment
  • 41 clinicians in this Medicare group
NPI 1598740011 (513) 891-7700
Carebridge Palliative Care Services LLC
3.9 mi
Hospice and Palliative Medicine
7625 CAMARGO RD
Cincinnati, OH 45243
  • Reassigned Medicare billing, Ohio enrollment
  • 5 clinicians in this Medicare group
NPI 1316708324 (513) 770-0820
Carebridge Palliative Services Inc.
3.9 mi
Hospice and Palliative Medicine
7625 CAMARGO RD, SUITE 200
Cincinnati, OH 45243
  • Reassigned Medicare billing, Ohio enrollment
  • 23 clinicians in this Medicare group
NPI 1831423334 (513) 528-8150
Ohio Living Palliative Care Greater Toledo LLC
168 mi
Family Medicine
1730 S REYNOLDS RD
Toledo, OH 43614
  • Reassigned Medicare billing, Ohio enrollment
  • 71 clinicians in this Medicare group
NPI 1861981656 (419) 865-1499

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

Areas of Expertise CMS Part B claims 5

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.

Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
61 services21 patients
Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes 99345
A new patient home visit is a comprehensive 75-minute appointment conducted at your home. The healthcare professional will assess your health, discuss any concerns, and create a personalized care plan. It's convenient, comfortable, and tailored to your specific needs.
22 services22 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
21 services13 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
17 services16 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
15 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45242 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 2

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

CATHERINE ROBSON CNP
Nurse Practitioner (Family)
4360 COOPER RD STE 300
CINCINNATI, OH 45242
Hamilton County (513) 891-7700
TINA M GARLAND APN
Nurse Practitioner (Family)
4360 COOPER RD STE 300
CINCINNATI, OH 45242
Hamilton County (513) 891-7700

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 Borchelt's NPI number?

The NPI number for Diane Borchelt is 1710950068. It was assigned to this individual provider in the NPPES registry on February 8, 2006.

Where is Diane Borchelt located?

Diane Borchelt practices at 4360 Cooper Rd Ste 300, Cincinnati, OH 45242. The listed phone number is (513) 891-7700.

What is Diane Borchelt's specialty?

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

Is Diane Borchelt enrolled in Medicare?

Yes. Diane Borchelt 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.

Which organizations bill Medicare for Diane Borchelt's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Diane Borchelt reassigns Medicare benefits to 4 organizations: Hospice Of Cincinnati Incorporated (Cincinnati, OH), Carebridge Palliative Care Services LLC (Cincinnati, OH), Carebridge Palliative Services Inc. (Cincinnati, OH) and Ohio Living Palliative Care Greater Toledo LLC (Toledo, OH). 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 Borchelt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Diane Borchelt accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and MedMutual and 2 other insurers list Diane Borchelt 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 Borchelt was last updated on December 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.