DIFFINE FAMILY PRACTICE PLLC
NPI 1962707158
Family Medicine in Blytheville, AR
About Diffine Family Practice Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DIFFINE FAMILY PRACTICE PLLC (NPI 1962707158) is a healthcare organization registered as a family medicine in Blytheville, Arkansas and active in the NPI registry since January 2011. The organization lists David A Diffine, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Diffine Family Practice Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Diffine Family Practice PLLC, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Diffine Family Practice PLLC's NPI number?
The NPI number for Diffine Family Practice PLLC is 1962707158. It was assigned to this organization in the NPPES registry on January 19, 2011.
Where is Diffine Family Practice PLLC located?
Diffine Family Practice PLLC is located at 1100 Medical Plaza Drive South Suite C, Blytheville, AR 72315. The listed phone number is (870) 824-2809.
What is Diffine Family Practice PLLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Diffine Family Practice PLLC enrolled in Medicare?
Yes. Diffine Family Practice PLLC is registered in the Medicare PECOS enrollment system.
When is Diffine Family Practice PLLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Arkansas, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Diffine Family Practice PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Diffine Family Practice PLLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Diffine Family Practice PLLC was last updated on February 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Diffine Family Practice Pllc · NPI 1962707158
Family Medicine organization in Blytheville, Arkansas. Organization record, active in the CMS NPPES registry since January 19, 2011.
## Identity
- **NPI:** 1962707158 (Entity type: Organization)
- **Enumerated:** January 19, 2011
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** David Diffine, PRESIDENT
## Practice location
- **Address:** 1100 MEDICAL PLAZA DRIVE SOUTH, SUITE C, Blytheville, AR 72315
- **Phone:** (870) 824-2809 · **Fax:** (870) 762-0731
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, Arkansas, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 3 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 7, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1962707158) · Data from the CMS NPPES public registry.