MISS DIANE ROSE BABOULAS (APN FNP-C) – Family Nurse Practitioner, NPI 1538480132

MISS DIANE ROSE BABOULAS (APN FNP-C) is a healthcare provider. based in Niles, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials APN FNP-C. They hold a License No. 209008165 (IL). The NPI Number for MISS DIANE ROSE BABOULAS (APN FNP-C) is 1538480132

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
MISS DIANE ROSE BABOULAS (APN FNP-C)
NPI
1538480132
Phone
(847) 723-7052
Address
8816 W DEMPSTER ST
Enumeration Date
17 June 2010
Last Update Date
23 July 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8887058722
Graduation Year
2009 (17 years ago)
PAC ID
9335338797
Group Practice PAC ID
0143547117
Professional Enrollment ID
I20110117000036
Address ID
IL601621761HI4600XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for MISS DIANE ROSE BABOULAS (APN FNP-C)

  • 8816 W DEMPSTER ST

    NILES, IL 607145109

    Phone: (847) 723-7052

    Fax: (847) 824-0675

    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)

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: 2011-01-17

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
I20110117000036INurse PractitionerILTBD

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
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes739134$0
99305Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes6663$0
View full utilization report →

Insurance plans in this area (ZIP 60714)

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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: 0143547117View full group profile
NameSpecialtyState
Clinical Social WorkerIN
-IN
Mental Health CounselorIL
Clinical Social WorkerTX
Clinical Social WorkerIL
Nurse PractitionerIL
Nurse PractitionerIL
-IL
-IL
Nurse PractitionerIL

Reviews

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Frequently asked questions

Can I verify MISS DIANE ROSE BABOULAS (APN FNP-C) with an NPI only?
You can start verification with NPI 1538480132 for MISS DIANE ROSE BABOULAS (APN FNP-C), then check state licensing separately.
Can I rely on MISS DIANE ROSE BABOULAS (APN FNP-C) being an active provider?
As of the registry snapshot, MISS DIANE ROSE BABOULAS (APN FNP-C) is marked active.
What is MISS DIANE ROSE BABOULAS (APN FNP-C) best known for clinically?
Directory data describes MISS DIANE ROSE BABOULAS (APN FNP-C) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What area does MISS DIANE ROSE BABOULAS (APN FNP-C) serve?
MISS DIANE ROSE BABOULAS (APN FNP-C)'s listing highlights Niles, Illinois; 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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