MS. DIANE M SCALISE NP
NPI 1790776268
Nurse Practitioner in Utica, NY

Q: What is Diane Scalise's NPI number?

The NPI number for Diane Scalise is 1790776268. It was assigned to this individual provider in the NPPES registry on November 2, 2005.

Q: What is Diane Scalise's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Diane Scalise was last updated on February 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 November 02, 2005PECOS EnrolledAccepts Medicare Assignment

1450 CHAMPLIN AVE, UTICA, NY 13502(615) 624-9000 Get Directions Write a Review

NPPES record last updated: February 27, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 27, 2020, Mar 19, 2019, Feb 29, 2016 (3 updates tracked since 2016).

On this page

About Ms. Diane M Scalise Np NPPES

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

MS. DIANE M SCALISE NP (NPI 1790776268) is an individual nurse practitioner in Utica, New York, licensed in New York (301408) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS, is affiliated with Wynn Hospital, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1790776268

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMS. DIANE M SCALISECredential: NP

Location Address1450 CHAMPLIN AVEUtica, NY 13502-3662

Mailing Address10615 Doyle RdDeerfield, NY 13502-6809

Phone(615) 624-9000

Sole ProprietorNo

Medical School CMSOtherGraduated 1995

Enumeration DateNovember 2, 2005

Last NPPES UpdateFebruary 27, 20203 updates tracked since enumeration

✔ NPI 1790776268 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in NY · 301408

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.

1450 CHAMPLIN AVE, Utica, NY 13502

Open in Google Maps ↗

Other Identifiers 1

Medicaid02328581NY

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

Ms. Diane M Scalise 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 ID4486641875

PECOS Enrollment IDI20040428000239

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 7

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.

125 services100 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.

84 services78 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

81 services81 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

37 services35 patients

Telephone medical discussion with physician, 5-10 minutes 99441

A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.

37 services35 patients

Telephone medical discussion with physician, 11-20 minutes 99442

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

33 services30 patients

Hospital Affiliations CMS Care Compare

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

Wynn Hospital

Acute Care Hospitals · Utica, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330044

Location111 Hospital DriveUtica, NY 13502 · Oneida County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13502 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

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.

Referred Medical Equipment & Supplies CMS DME claims 24

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

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

5 suppliers108 claims108 services$33.54 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

7 suppliers95 claims95 services$79.03 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

6 suppliers97 claims279 services$28.59 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

4 suppliers20 claims111 services$16.60 avg. paid by Medicare

Pillow for use on nasal cannula type interface, replacement only, pair A7033

DME-Other DME · category DE001N

4 suppliers24 claims107 services$14.63 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

4 suppliers41 claims41 services$52.42 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

7 suppliers85 claims85 services$16.25 avg. paid by Medicare

Chinstrap used with positive airway pressure device A7036

DME-Other DME · category DE001N

2 suppliers14 claims14 services$9.90 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

6 suppliers28 claims28 services$12.69 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

8 suppliers141 claims798 services$1.90 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

4 suppliers38 claims38 services$11.58 avg. paid by Medicare

Walker, heavy duty, wheeled, rigid or folding, any type E0149

DME-Other DME · category DE000N

2 suppliers11 claims11 services$7.72 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers55 claims55 services$14.83 avg. paid by Medicare

Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0470

DME-Other DME · category DE001N

3 suppliers63 claims63 services$74.39 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

3 suppliers31 claims31 services$103.80 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

2 suppliers30 claims30 services$11.49 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

2 suppliers22 claims22 services$4.09 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

5 suppliers211 claims211 services$30.96 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

6 suppliers85 claims87 services$79.21 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

2 suppliers32 claims34 services$34.16 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

8 suppliers20 claims3,804 services$0.03 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

8 suppliers20 claims1,950 services$0.10 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

3 suppliers12 claims600 services$0.70 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

14 suppliers38 claims38 services$23.94 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 11

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

MARJORIE NAPLES RD

Dietitian, Registered

1450 CHAMPLIN AVE
UTICA, NY 13502

Oneida County (315) 624-9000

ASIMA KAJTAZOVIC FNP

Nurse Practitioner (Family)

1450 CHAMPLIN AVE
UTICA, NY 13502

Oneida County (315) 624-2900

PULMONARY CRITICAL CARE AND SLEEP MEDICINE PLLC

Internal Medicine (Pulmonary Disease)

1450 CHAMPLIN AVE
UTICA, NY 13502

Oneida County (315) 624-9000

MRS. CASEY LYNN KILBORNE FNP-C

Nurse Practitioner (Primary Care)

1450 CHAMPLIN AVE
UTICA, NY 13502

Oneida County (315) 624-9000

MOHAWK VALLEY FAMILY MEDICINE PLLC

Family Medicine

1450 CHAMPLIN AVE
UTICA, NY 13502

Oneida County (315) 624-2900

SLEEP DISORDERS LAB OF CENTRAL NEW YORK, LLC

Sleep Specialist, PhD

1450 CHAMPLIN AVE, SUITE 1
UTICA, NY 13502

Oneida County (315) 624-9004

ANWAR WASSEL MD

Internal Medicine (Pulmonary Disease)

1450 CHAMPLIN AVE
UTICA, NY 13502

Oneida County (315) 624-9000

DANIEL LEWIS ZEIDNER MD

Pediatrics

1450 CHAMPLIN AVE, UTICA PEDIATRICS
UTICA, NY 13502

Oneida County (315) 732-7909

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 Scalise's NPI number?

The NPI number for Diane Scalise is 1790776268. It was assigned to this individual provider in the NPPES registry on November 2, 2005.

Where is Diane Scalise located?

Diane Scalise practices at 1450 Champlin Ave, Utica, NY 13502. The listed phone number is (615) 624-9000.

What is Diane Scalise's specialty?

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

Is Diane Scalise enrolled in Medicare?

Yes. Diane Scalise 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.

Is Diane Scalise affiliated with any hospitals?

According to CMS data, Diane Scalise is affiliated with Wynn Hospital.

When was this NPI record last updated?

The NPPES record for Diane Scalise was last updated on February 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.