MS. DIANA M. KAVANAGH – Family Nurse Practitioner, NPI 1144538489

MS. DIANA M. KAVANAGH is a healthcare provider. based in New haven, Connecticut. specializing in Family Nurse Practitioner. They hold a License No. 4472 (CT). The NPI Number for MS. DIANA M. KAVANAGH is 1144538489

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
MS. DIANA M. KAVANAGH
NPI
1144538489
Phone
(203) 752-2856
Address
345 WHITNEY AVE
Enumeration Date
21 September 2010
Last Update Date
9 July 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2037522856
Graduation Year
2010 (16 years ago)
PAC ID
6507045143
Group Practice PAC ID
3173436730
Professional Enrollment ID
I20110127000898
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

Provider Addresses for MS. DIANA M. KAVANAGH

  • 345 WHITNEY AVE

    NEW HAVEN, CT 065112348

    Phone: (203) 752-2856

    Fax: (203) 752-8785

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $49.

Total Amount is formed as General ($49) + Research ($0) + Ownership ($0) = $49.

Last reported payment date: 2023-05-15 • Largest payer in this snapshot: Medicines360 ($30).

Total Amount

$49

General + Research + Ownership

Payments

2

Total payment records

General Amount

$49

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-05-15

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2011-01-27

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
I20110127000898INurse PractitionerCTTBD

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 06511)

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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: 3173436730View full group profile
NameSpecialtyState
Nurse PractitionerCT
Nurse PractitionerCT
Certified Nurse Midwife (Cnm)CT
-RI
O B S T E T R I C S/ G Y N E C O L O G YCT
Nurse PractitionerCT
O B S T E T R I C S/ G Y N E C O L O G YCT
-CT
Nurse PractitionerCT
Physician AssistantCT

Reviews

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Frequently asked questions

Is there an official ID for MS. DIANA M. KAVANAGH in U.S. healthcare records?
The official identifier for MS. DIANA M. KAVANAGH is NPI 1144538489.
Would MS. DIANA M. KAVANAGH appear as active to a payer?
You can treat MS. DIANA M. KAVANAGH as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is MS. DIANA M. KAVANAGH?
MS. DIANA M. KAVANAGH is associated with Family Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with MS. DIANA M. KAVANAGH?
Directory geography for MS. DIANA M. KAVANAGH centers on New Haven, Connecticut.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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