MRS. DIANE R EZEKOYE CRNP
NPI 1932505757
Nurse Practitioner - Family in Philadelphia, PA
About Mrs. Diane R Ezekoye Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. DIANE R EZEKOYE CRNP (NPI 1932505757) is an individual family provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP014145) and active in the NPI registry since November 2014. She is enrolled in Medicare PECOS and maintains a secondary practice location in Enola.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Diane R Ezekoye Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Diane Ezekoye reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Wormleysburg, PA 17043
- Reassigned Medicare billing, Pennsylvania enrollment
- 132 clinicians in this Medicare group
Brentwood, TN 37027
- Reassigned Medicare billing, Pennsylvania enrollment
- 99 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.
Areas of Expertise CMS Part B claims 2
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
PHILADELPHIA, PA 19103
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 Ezekoye's NPI number?
The NPI number for Diane Ezekoye is 1932505757. It was assigned to this individual provider in the NPPES registry on November 5, 2014. The provider is also known as Mrs. Diane R Dean Crnp.
Where is Diane Ezekoye located?
Diane Ezekoye practices at 1650 Market St Ste 3600, Philadelphia, PA 19103. The listed phone number is (855) 212-2273.
What is Diane Ezekoye's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Diane Ezekoye enrolled in Medicare?
Yes. Diane Ezekoye is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Diane Ezekoye's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Diane Ezekoye reassigns Medicare benefits to 2 organizations: Pinnacle Health Cardiovascular Institute Inc (Wormleysburg, PA) and Monogram Health Professional Services PC (Brentwood, TN). 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 Diane Ezekoye'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 Diane Ezekoye was last updated on October 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days 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.
# Mrs. Diane R Ezekoye, CRNP · NPI 1932505757
Family physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since November 5, 2014.
## Identity
- **NPI:** 1932505757 (Entity type: Individual)
- **Enumerated:** November 5, 2014
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** SP014145 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 1650 MARKET ST STE 3600, Philadelphia, PA 19103-7334
- **Phone:** (855) 212-2273 · **Fax:** (629) 240-6003
## 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): Pinnacle Health Cardiovascular Institute Inc (NPI 1952603342, Wormleysburg, PA); Monogram Health Professional Services PC (NPI 1134739089, Brentwood, TN) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 22, 2026
- **Other identifiers:** Medicaid 103048280-0026 (PA); Medicaid 103046285 (PA)
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Source: [NPI Profile](https://npiprofile.com/npi/1932505757) · Data from the CMS NPPES public registry.