MS. DIANE L WIRTH (ANP-BC) – Adult Health Nurse Practitioner, NPI 1407969058
Adult Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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
| Company | Amount |
|---|---|
| Janssen Pharmaceuticals, Inc | $54,170 |
| AstraZeneca Pharmaceuticals LP | $51 |
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040120000489 | I | Nurse Practitioner | GA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99457 | Management using the results of remote vital sign monitoring per calendar month, first 20 minutes | 67 | 39 | $0 |
| 99454 | Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days | 58 | 38 | $0 |
Insurance plans in this area (ZIP 30322)
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Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| Certified Clinical Nurse Specialist (Cns) | GA | |
| Nurse Practitioner | GA | |
| - | GA | |
| Nurse Practitioner | GA | |
| - | GA | |
| - | GA | |
| Certified Registered Nurse Anesthetist (Crna) | GA | |
| - | NY | |
| - | GA | |
| Nurse Practitioner | MI |
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