DIANNE LYNNE PETTIS
NPI 1730336348
Nurse Practitioner - Family in Bellevue, PA

Active since August 26, 2008PECOS Enrolled
355 LINCOLN AVE, BELLEVUE, PA 15202(412) 761-3000 Get Directions Write a Review

NPPES record last updated: December 19, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dianne Lynne Pettis NPPES

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

DIANNE LYNNE PETTIS (NPI 1730336348) is an individual family provider in Bellevue, Pennsylvania, licensed in Pennsylvania (SP011635) and active in the NPI registry since August 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730336348
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDIANNE LYNNE PETTIS
Location Address355 LINCOLN AVEBellevue, PA 15202-3755
Mailing Address355 Lincoln AveBellevue, PA 15202-3755 · (412) 761-3000
Sole ProprietorNo
Enumeration DateAugust 26, 2008
Last NPPES UpdateDecember 19, 2022
NPPES CertifiedDecember 19, 2022
✔ NPI 1730336348 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 PA · SP011635
355 LINCOLN AVE, Bellevue, PA 15202

Other Names 1

Former Name (1)Dianne Lynne Walker

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dianne Lynne Pettis 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 Reassignment

Medicare enrollment records show Dianne Pettis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 553 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15202 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.

Other Providers at the Same Location NPPES 4

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

Nurse Practitioner (Family)
355 LINCOLN AVE
BELLEVUE, PA 15202
Pharmacy
355 LINCOLN AVE
BELLEVUE, PA 15202
Pharmacist
355 LINCOLN AVE
BELLEVUE, PA 15202
Pharmacist
355 LINCOLN AVE
BELLEVUE, PA 15202

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 Dianne Pettis's NPI number?

The NPI number for Dianne Pettis is 1730336348. It was assigned to this individual provider in the NPPES registry on August 26, 2008. The provider is also known as Dianne Lynne Walker.

Where is Dianne Pettis located?

Dianne Pettis practices at 355 Lincoln Ave, Bellevue, PA 15202. The listed phone number is (412) 761-3000.

What is Dianne Pettis's specialty?

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

Is Dianne Pettis enrolled in Medicare?

Yes. Dianne Pettis is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Dianne Pettis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dianne Pettis reassigns Medicare benefits to Signify Health Medical Associates, PLLC (Dallas, TX). The 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 Dianne Pettis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Dianne Pettis was last updated on December 19, 2022. 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.