MS. DIANE L WIRTH (ANP-BC) – Adult Health Nurse Practitioner, NPI 1407969058

MS. DIANE L WIRTH (ANP-BC) is a healthcare provider. based in Atlanta, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials ANP-BC. They hold a License No. RN108564 NP (GA). The NPI Number for MS. DIANE L WIRTH (ANP-BC) is 1407969058

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
MS. DIANE L WIRTH (ANP-BC)
NPI
1407969058
Phone
(404) 778-4451
Address
1525 CLIFTON RD NE
Enumeration Date
17 August 2006
Last Update Date
18 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4046162215
Graduation Year
2002 (24 years ago)
PAC ID
7214838408
Group Practice PAC ID
7517032998
Professional Enrollment ID
I20040120000489
Address ID
GA303033050AT22XXXSEXX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

9,652 NURSE PRACTITIONER in GA

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Provider Addresses for MS. DIANE L WIRTH (ANP-BC)

  • Clifton Road Northeast, Candler Park, Druid Hills, DeKalb County, Georgia, 30329, United States

    SUITE 207

    ATLANTA, GA 303224200

    Phone: (404) 778-4451

    Fax: (404) 778-4355

    Type: Location

  • Janmar Road, Snellville, Gwinnett County, Georgia, 30078, United States

    SNELLVILLE, GA 300782103

    Phone: (770) 979-1154

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 89 Open Payments records for all available years, with a total value of $54,221.

Total Amount is formed as General ($54,221) + Research ($0) + Ownership ($0) = $54,221.

Last reported payment date: 2024-09-30 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($54,170).

Total Amount

$54,221

General + Research + Ownership

Payments

89

Total payment records

General Amount

$54,221

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-30

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: 2004-01-20

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
I20040120000489INurse PractitionerGATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99457Management using the results of remote vital sign monitoring per calendar month, first 20 minutes6739$0
99454Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days5838$0
View full utilization report →

Insurance plans in this area (ZIP 30322)

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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: 7517032998View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for MS. DIANE L WIRTH (ANP-BC)?
MS. DIANE L WIRTH (ANP-BC) — NPI 1407969058 — is the standard way to identify this listing.
Can I rely on MS. DIANE L WIRTH (ANP-BC) being an active provider?
As of the registry snapshot, MS. DIANE L WIRTH (ANP-BC) is marked active.
What is MS. DIANE L WIRTH (ANP-BC)'s specialty?
The listing groups MS. DIANE L WIRTH (ANP-BC) with Adult Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What area does MS. DIANE L WIRTH (ANP-BC) serve?
MS. DIANE L WIRTH (ANP-BC)'s listing highlights Atlanta, Georgia; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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