EDELIS ISMARAY DIAZ FNP
NPI 1861210437
Nurse Practitioner in San Francisco, CA

Q: What is Edelis Diaz's NPI number?

The NPI number for Edelis Diaz is 1861210437. It was assigned to this individual provider in the NPPES registry on October 1, 2024.

Q: What is Edelis Diaz'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 Edelis Diaz was last updated on April 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since October 01, 2024PECOS EnrolledAccepts Medicare Assignment

2 EMBARCADERO CTR LBBY LEVEL, SAN FRANCISCO, CA 94111(888) 663-6331(415) 252-7176 Get Directions Write a Review

NPPES record last updated: April 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 11, 2025, Oct 1, 2024 (2 updates tracked since 2024).

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About Edelis Ismaray Diaz Fnp NPPES

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

EDELIS ISMARAY DIAZ FNP (NPI 1861210437) is an individual nurse practitioner in San Francisco, California, licensed in California (95031146) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1861210437

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameEDELIS ISMARAY DIAZCredential: FNP

Location Address2 EMBARCADERO CTR LBBY LEVELSan Francisco, CA 94111-3823

Mailing Address1 Embarcadero Ctr Ste 1900San Francisco, CA 94111-3723 · (415) 658-6791 · Fax (415) 520-0904

Phone(888) 663-6331

Fax(415) 252-7176

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateOctober 1, 2024

Last NPPES UpdateApril 11, 20252 updates tracked since enumeration

NPPES CertifiedApril 11, 2025

✔ NPI 1861210437 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 CA · 95031146

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.

2 EMBARCADERO CTR LBBY LEVEL, San Francisco, CA 94111

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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

Edelis Ismaray Diaz Fnp 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 ID5890216824

PECOS Enrollment IDI20250306003325

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94111 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

$104.51 typical visit price

range $69.00 – $202.35

Typical copayment $26.12 (range $17.25 – $50.58)

Most-billed visit code 99203

Established Patient

$119.48 typical visit price

range $23.44 – $166.46

Typical copayment $29.87 (range $5.86 – $41.61)

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 20

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

MS. MOENSANIA CARISA PHILLIPS NURSE PRACTITIONER

Nurse Practitioner (Family)