DESIRAE DILLMAN (APRN, FNP-C) – Family Nurse Practitioner, NPI 1720784614

DESIRAE DILLMAN (APRN, FNP-C) is a healthcare provider. based in Panama city, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN, FNP-C. They hold a License No. 11026702 (FL). The NPI Number for DESIRAE DILLMAN (APRN, FNP-C) is 1720784614

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
DESIRAE DILLMAN (APRN, FNP-C)
NPI
1720784614
Phone
Not provided
Address
504 N MACARTHUR AVE
Enumeration Date
2 February 2023
Last Update Date
18 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8507692158
Graduation Year
2023 (3 years ago)
PAC ID
6800259581
Group Practice PAC ID
3779672720
Professional Enrollment ID
I20230829000253
Address ID
FL324013636PA504XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:3State licenses:2Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for DESIRAE DILLMAN (APRN, FNP-C)

  • 504 N MACARTHUR AVE

    PANAMA CITY, FL 324013636

    Phone:

    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 23 Open Payments records for all available years, with a total value of $693.

Total Amount is formed as General ($693) + Research ($0) + Ownership ($0) = $693.

Last reported payment date: 2024-10-28 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($293).

Total Amount

$693

General + Research + Ownership

Payments

23

Total payment records

General Amount

$693

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-28

Latest reported date

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: 2023-08-29

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
I20230829000253INurse 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 32401)

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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: 3779672720View full group profile
NameSpecialtyState
Nurse PractitionerFL
Nurse PractitionerIL
N E P H R O L O G YOH
-FL
N E P H R O L O G YTX
Nephrology, Internal MedicineFL
Nurse PractitionerFL
-FL
-SD
N E P H R O L O G YFL

Reviews

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Frequently asked questions

What NPI should I save for DESIRAE DILLMAN (APRN, FNP-C)?
Save NPI 1720784614 if you need a stable reference for DESIRAE DILLMAN (APRN, FNP-C).
Is DESIRAE DILLMAN (APRN, FNP-C) active in the national directory?
DESIRAE DILLMAN (APRN, FNP-C)'s public NPI profile is in an active state.
Does DESIRAE DILLMAN (APRN, FNP-C) list a primary specialty?
If you are matching referrals, note Family Nurse Practitioner for DESIRAE DILLMAN (APRN, FNP-C). Clinical services aligned with this taxonomy classification.
Does DESIRAE DILLMAN (APRN, FNP-C) practice in Florida?
You will see Panama City, Florida on file for DESIRAE DILLMAN (APRN, FNP-C) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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