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MS. DIANE M. WAITKEVICH NP
NPI 1730351909
Nurse Practitioner in Worcester, MA

Active since March 28, 2008
55 LAKE AVE N, DEPARTMENT OF PEDIATRICS, WORCESTER, MA 01655(508) 856-4155(774) 441-8071 Get Directions Write a Review

NPPES record last updated: November 9, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 9, 2020, Oct 21, 2019 (2 updates tracked since 2019).

About Ms. Diane M. Waitkevich Np NPPES

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

MS. DIANE M. WAITKEVICH NP (NPI 1730351909) is an individual nurse practitioner in Worcester, Massachusetts, licensed in Massachusetts (RN204637) and active in the NPI registry since March 2008.

NPPES Registry Identity

NPI1730351909
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMS. DIANE M. WAITKEVICHCredential: NP
Location Address55 LAKE AVE N, DEPARTMENT OF PEDIATRICSWorcester, MA 01655-0002
Mailing AddressPo Box 415348Boston, MA 02241-0001 · (800) 225-8885 · Fax (508) 334-1977
Phone(508) 856-4155
Fax(774) 441-8071
Sole ProprietorNo
Enumeration DateMarch 28, 2008
Last NPPES UpdateNovember 9, 20202 updates tracked since enumeration
NPPES CertifiedNovember 9, 2020
✔ NPI 1730351909 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MA · RN204637
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X · License RN204637 (MA)
55 LAKE AVE N, Worcester, MA 01655
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Other Identifiers 1

Medicaid110078992AMA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

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.

HILLARY R. IRONS MD
Emergency Medicine
55 LAKE AVE N
WORCESTER, MA 01655
Worcester County (508) 421-1400
MS. EILEEN A. DUHAMEL NP
Nurse Practitioner
55 LAKE AVE N, DEPARTMENT OF RADIOLOGY
WORCESTER, MA 01655
Worcester County (508) 334-2710
EWA HRYNISZYN CRNA
Nurse Anesthetist, Certified Registered
55 LAKE AVE N, DEPARTMENT OF ANESTHESIOLOGY
WORCESTER, MA 01655
Worcester County (508) 334-3271
HELEN COPSEY PA-C
Physician Assistant
55 LAKE AVE N
WORCESTER, MA 01655
Worcester County (508) 334-8585
DR. ADEPEJU GBADEBO CHAMPION M.D.
Internal Medicine
55 LAKE AVE N
WORCESTER, MA 01655
Worcester County (508) 334-2731
SOWMYA KORAPATI
Internal Medicine (Hematology & Oncology)
55 LAKE AVE N
WORCESTER, MA 01655
Worcester County (508) 334-3550
LAYLA FAKHRZADEH M.D.
Anesthesiology
55 LAKE AVE N, ANESTHESIOLOGY
WORCESTER, MA 01655
Worcester County (508) 334-3271
YOONYIE CHO M.D.
Anesthesiology
55 LAKE AVE N
WORCESTER, MA 01655
Worcester County (508) 334-1000

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 Waitkevich's NPI number?

The NPI number for Diane Waitkevich is 1730351909. It was assigned to this individual provider in the NPPES registry on March 28, 2008.

Where is Diane Waitkevich located?

Diane Waitkevich practices at 55 Lake Ave N Department Of Pediatrics, Worcester, MA 01655. The listed phone number is (508) 856-4155.

What is Diane Waitkevich's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

What insurance does Diane Waitkevich accept?

Health plans from Anthem Blue Cross and Blue Shield list Diane Waitkevich 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 Waitkevich was last updated on November 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.