DIANA ISABEL CLAVIJO – Primary Care Nurse Practitioner, NPI 1003671629

DIANA ISABEL CLAVIJO is a healthcare provider. based in Port st lucie, Florida. specializing in NURSE PRACTITIONER. They hold a License No. 11030622 (FL). The NPI Number for DIANA ISABEL CLAVIJO is 1003671629

Main info

Female
Sole Proprietor
2 Years Of Experience
Accepts Medicare Assignment
Name
DIANA ISABEL CLAVIJO
NPI
1003671629
Phone
(954) 274-5691
Address
7549 NW GREENSPRING ST
Enumeration Date
14 February 2024
Last Update Date
14 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7724805860
Graduation Year
2024 (2 years ago)
PAC ID
1456796432
Group Practice PAC ID
0244621910
Professional Enrollment ID
I20240229001557
Address ID
FL349527552PO1701XDRXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for DIANA ISABEL CLAVIJO

  • 7549 NW GREENSPRING ST

    PORT ST LUCIE, FL 349873050

    Phone: (954) 274-5691

    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 1 Open Payments records for all available years, with a total value of $125.

Total Amount is formed as General ($125) + Research ($0) + Ownership ($0) = $125.

Last reported payment date: 2024-04-18 • Largest payer in this snapshot: Intercept Pharmaceuticals, Inc. ($125).

Total Amount

$125

General + Research + Ownership

Payments

1

Total payment records

General Amount

$125

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-18

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: 2024-02-29

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
I20240229001557INurse PractitionerFLTBD

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 34987)

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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: 0244621910View full group profile
NameSpecialtyState
Nurse PractitionerFL
Nurse PractitionerMD
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

What number should I use to identify DIANA ISABEL CLAVIJO for billing?
Administrative and clinical systems typically use NPI 1003671629 for DIANA ISABEL CLAVIJO.
Quick check: is DIANA ISABEL CLAVIJO active?
Public NPPES data shows DIANA ISABEL CLAVIJO with an active NPI status right now.
Which specialty label fits DIANA ISABEL CLAVIJO?
NPPES ties DIANA ISABEL CLAVIJO to Primary Care Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DIANA ISABEL CLAVIJO?
DIANA ISABEL CLAVIJO is associated with Port St Lucie, Florida in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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