DIANE LANGSTRAAT (PA) – Surgical Physician Assistant, NPI 1265963177

DIANE LANGSTRAAT (PA) is a healthcare provider. based in Grand junction, Colorado. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. The NPI Number for DIANE LANGSTRAAT (PA) is 1265963177

Main info

Female
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
DIANE LANGSTRAAT (PA)
NPI
1265963177
Phone
(970) 243-0900
Address
2440 N 11TH ST
Enumeration Date
22 March 2017
Last Update Date
10 May 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9702430900
Graduation Year
2023 (3 years ago)
PAC ID
3678932787
Group Practice PAC ID
5496034068
Professional Enrollment ID
I20230707002175
Address ID
CO815018102GR2440XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:9State licenses:0Digital endpointsOther names

4,166 PHYSICIAN ASSISTANT in CO

Provider Addresses for DIANE LANGSTRAAT (PA)

  • 2440 N 11TH ST

    GRAND JUNCTION, CO 815018102

    Phone: (970) 243-0900

    Type: Location

  • 664, Springbrook Drive, Grand Junction, Mesa County, Colorado, 81504, United States

    GRAND JUNCTION, CO 815047061

    Phone: (414) 559-8073

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-07-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230707002175IPhysician AssistantCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 81501)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5496034068View full group profile
NameSpecialtyState
Physician AssistantIA
U R O L O G YCO
Nurse PractitionerCO
Physician AssistantSC
Physician AssistantCO
General SurgeryCO
Nurse PractitionerCO
-CO
U R O L O G YMO
Physician AssistantNY

Reviews

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Frequently asked questions

What is DIANE LANGSTRAAT (PA)'s NPI number?
DIANE LANGSTRAAT (PA)'s NPI is 1265963177 — the number used across U.S. healthcare to identify this provider.
Is DIANE LANGSTRAAT (PA) shown as active in public data?
Registry records indicate DIANE LANGSTRAAT (PA) maintains an active NPI.
What area of care is associated with DIANE LANGSTRAAT (PA)?
DIANE LANGSTRAAT (PA)'s record emphasizes Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DIANE LANGSTRAAT (PA)?
Travel planning: use Grand Junction, Colorado as the reference point for DIANE LANGSTRAAT (PA), then confirm.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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