DIANA C MCNULTY – Internal Medicine Physician, NPI 1215900105

DIANA C MCNULTY is a healthcare provider. based in Freeport, Illinois. specializing in INTERNAL MEDICINE. They hold a License No. 036103840 (IL). The NPI Number for DIANA C MCNULTY is 1215900105

Main info

Female
35 Years Of Experience
Accepts Medicare Assignment
Name
DIANA C MCNULTY
NPI
1215900105
Phone
(815) 599-7950
Address
421 W EXCHANGE ST
Enumeration Date
10 February 2006
Last Update Date
23 October 2017

Doctor Profile

Medical School Name
OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8152353165
Graduation Year
1991 (35 years ago)
PAC ID
2860535317
Group Practice PAC ID
9234041682
Professional Enrollment ID
I20100205000081
Address ID
IL610326942FR3001XDRXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

8,824 INTERNAL MEDICINE in IL

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Provider Addresses for DIANA C MCNULTY

  • West Exchange Street, Freeport, Stephenson County, Illinois, 61032, United States

    PO BOX 268

    FREEPORT, IL 610324030

    Phone: (815) 599-7950

    Type: Mailing

  • Fairway Drive, Freeport, Stephenson County, Illinois, 61032, United States

    FREEPORT, IL 610326600

    Phone: (815) 599-7880

    Type: Location

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: 2010-02-05

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
I20100205000081IInternal MedicineILTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes537247$0
36415Insertion of needle into vein for collection of blood sample319181$0
99213Established patient office or other outpatient visit, 20-29 minutes7762$0
85610Blood test, clotting time4912$0
G0008Administration of influenza virus vaccine4544$0
View full utilization report →

Insurance plans in this area (ZIP 61032)

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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: 9234041682View full group profile
NameSpecialtyState
Interventional CardiologyIL
Infectious Disease, Internal MedicineIL
Family PracticeIL
-DE
Family PracticeIL
O B S T E T R I C S/ G Y N E C O L O G YIL
-IL
Family PracticeIL
Orthopedic SurgeryIL
Family PracticeIL

Reviews

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Frequently asked questions

Can I verify DIANA C MCNULTY with an NPI only?
You can start verification with NPI 1215900105 for DIANA C MCNULTY, then check state licensing separately.
Does CMS list DIANA C MCNULTY as active?
Yes — DIANA C MCNULTY is active in the NPI listing used on this page.
What is DIANA C MCNULTY best known for clinically?
Directory data describes DIANA C MCNULTY with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where should I expect DIANA C MCNULTY on a map?
Expect Freeport, Illinois as a primary anchor for DIANA C MCNULTY unless the record lists multiple sites.
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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