MS. DIANE E MCKENZIE NP
NPI 1750476248
Nurse Practitioner - Family in Mokena, IL

Q: What is Diane Mckenzie's NPI number?

The NPI number for Diane Mckenzie is 1750476248. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Q: What is Diane Mckenzie's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Diane Mckenzie was last updated on June 13, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since October 03, 2006PECOS EnrolledAccepts Medicare Assignment

11200 W LINCOLN HWY, MOKENA, IL 60448(815) 464-2171(815) 464-2176 Get Directions Write a Review

NPPES record last updated: June 13, 2011. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Ms. Diane E Mckenzie Np NPPES

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

MS. DIANE E MCKENZIE NP (NPI 1750476248) is an individual family provider in Mokena, Illinois, licensed in Illinois (209003923) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1750476248

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMS. DIANE E MCKENZIECredential: NP

Location Address11200 W LINCOLN HWYMokena, IL 60448-8208

Mailing Address12311 S Morgan StCalumet Park, IL 60827-6222 · (708) 396-2820

Phone(815) 464-2171

Fax(815) 464-2176

Sole ProprietorNo

Medical School CMSOtherGraduated 1998

Enumeration DateOctober 3, 2006

Last NPPES UpdateJune 13, 2011

✔ NPI 1750476248 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 IL · 209003923

11200 W LINCOLN HWY, Mokena, IL 60448

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Other Identifiers 5

Medicare UPINQ40837

Medicaid209003923IL

Medicare PINK46563IL

Medicare ID-Type UnspecifiedK16467IL

Medicare PINK46562IL

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

Ms. Diane E Mckenzie Np 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 ID2668410630

PECOS Enrollment IDI20050420000656

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 Diane Mckenzie reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Premise Health Of Illinois Medical PC

14 mi

Multi-Specialty

6195 W. 115TH ST.
Alsip, IL 60803

Reassigned Medicare billing, Illinois enrollment
66 clinicians in this Medicare group

NPI 1184362527 (312) 262-7002

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 60448 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

$93.02 typical visit price

range $59.81 – $181.38

Typical copayment $23.25 (range $14.95 – $45.34)

Most-billed visit code 99203

Established Patient

$105.07 typical visit price

range $19.15 – $147.12

Typical copayment $26.26 (range $4.78 – $36.78)

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 13

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

MS. IRENE BRESINGHAM APN

Nurse Practitioner (Family)