MRS. DIANE LYNN DUNNIWAY (NPP) – Obstetrics & Gynecology Nurse Practitioner, NPI 1104986330
Obstetrics & Gynecology Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
11,632 NURSE PRACTITIONER in IL
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Provider Addresses for MRS. DIANE LYNN DUNNIWAY (NPP)
Glen Oak Medical Plaza, 120, Northeast Glen Oak Avenue, Peoria, Peoria County, Illinois, 61636, United States
SUITE 200
PEORIA, IL 616034314
Phone: (309) 673-0000
Fax: (309) 673-3730
Type: Location
1180 NEWFIELD AVE
STAMFORD, CT 069051409
Phone: (314) 888-5233
Type: Mailing
Saint Francis Outpatient Center, 8600, North State Route 91, Peoria, Peoria County, Illinois, 61614, United States
STE 330
PEORIA, IL 616157835
Phone: (309) 673-0000
Fax: (309) 673-3730
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2009-02-18
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 |
|---|---|---|---|---|
| I20090218000485 | I | Nurse Practitioner | IL | 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 |
|---|---|---|---|---|
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 12 | 11 | $0 |
Insurance plans in this area (ZIP 61603)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | PA | |
| Physical Therapist In Private Practice | CO | |
| P S Y C H I A T R Y | MI | |
| Nurse Practitioner | MT | |
| Family Practice | MI | |
| Hospitalist, Pediatric Medicine | VA | |
| Family Practice | FL | |
| Nurse Practitioner | AK | |
| Pediatric Medicine | CT | |
| Physical Therapist In Private Practice | KS |
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