MS. DIANNA QUEHEILLALT
NPI 1811419302
Nurse Practitioner - Pediatrics in Phoenix, AZ
About Ms. Dianna Queheillalt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. DIANNA QUEHEILLALT (NPI 1811419302) is an individual pediatrics provider in Phoenix, Arizona, licensed in Arizona (313133) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS and maintains a secondary practice location in Boston.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ms. Dianna Queheillalt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Dianna Queheillalt reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Phoenix, AZ 85016
- Reassigned Medicare billing, Arizona enrollment
- 1,416 clinicians in this Medicare group
Boston, MA 02115
- Reassigned Medicare billing, Massachusetts enrollment
- 1,358 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 85016 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
PHOENIX, AZ 85016
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 Dianna Queheillalt's NPI number?
The NPI number for Dianna Queheillalt is 1811419302. It was assigned to this individual provider in the NPPES registry on July 17, 2017.
Where is Dianna Queheillalt located?
Dianna Queheillalt practices at 1919 E Thomas Rd, Phoenix, AZ 85016. The listed phone number is (602) 933-4063.
What is Dianna Queheillalt's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Dianna Queheillalt enrolled in Medicare?
Yes. Dianna Queheillalt is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Dianna Queheillalt's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dianna Queheillalt reassigns Medicare benefits to 2 organizations: Phoenix Children's Hospital (Phoenix, AZ) and Children's Hospital Pediatric Associates, Inc (Boston, MA). 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 Dianna Queheillalt'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 Dianna Queheillalt was last updated on November 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.
# Ms. Dianna Queheillalt · NPI 1811419302
Pediatrics physician in Phoenix, Arizona. Individual provider, active in the CMS NPPES registry since July 17, 2017.
## Identity
- **NPI:** 1811419302 (Entity type: Individual)
- **Enumerated:** July 17, 2017
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** 313133 (Arizona)
- **Sole proprietor:** No
## Practice location
- **Address:** 1919 E THOMAS RD, Phoenix, AZ 85016-7710
- **Phone:** (602) 933-4063
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Phoenix Children's Hospital (NPI 1922112044, Phoenix, AZ); Children's Hospital Pediatric Associates, Inc (NPI 1457306664, Boston, MA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 20, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1811419302) · Data from the CMS NPPES public registry.