DIANA G POULSEN
NPI 1962872523
Physician Assistant - Medical in New Haven, CT

Q: What is Diana Poulsen's NPI number?

The NPI number for Diana Poulsen is 1962872523. It was assigned to this individual provider in the NPPES registry on September 25, 2015.

Q: What is Diana Poulsen's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Diana Poulsen was last updated on August 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 September 25, 2015PECOS Enrolled

YALE NEW HAVEN PEDIATRIC ED, 1 PARK ST, NEW HAVEN, CT 06504(203) 688-4242 Get Directions Write a Review

NPPES record last updated: August 20, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 20, 2019, Jul 18, 2018 (2 updates tracked since 2018).

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About Diana G Poulsen NPPES

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

DIANA G POULSEN (NPI 1962872523) is an individual medical provider in New Haven, Connecticut, licensed in Connecticut (4174) and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962872523

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameDIANA G POULSEN

Location AddressYALE NEW HAVEN PEDIATRIC ED, 1 PARK STNew Haven, CT 06504

Mailing Address177 Candlewood RdFairfield, CT 06825-3662

Phone(203) 688-4242

Sole ProprietorYes

Enumeration DateSeptember 25, 2015

Last NPPES UpdateAugust 20, 20192 updates tracked since enumeration

✔ NPI 1962872523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in CT · 4174

Also ListedPhysician AssistantTaxonomy 363A00000X

YALE NEW HAVEN PEDIATRIC ED, New Haven, CT 06504

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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 (PECOS)

Diana G Poulsen is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 Diana Poulsen's NPI number?

The NPI number for Diana Poulsen is 1962872523. It was assigned to this individual provider in the NPPES registry on September 25, 2015.

Where is Diana Poulsen located?

Diana Poulsen practices at Yale New Haven Pediatric Ed 1 Park St, New Haven, CT 06504. The listed phone number is (203) 688-4242.

What is Diana Poulsen's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Diana Poulsen enrolled in Medicare?

Yes. Diana Poulsen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Diana Poulsen was last updated on August 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.