DIANA JISELLE LANKENAU (APRN) – Family Medicine Physician, NPI 1598244667
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
11,632 NURSE PRACTITIONER in IL
Provider Addresses for DIANA JISELLE LANKENAU (APRN)
3600 W FULLERTON AVE
CHICAGO, IL 606472319
Phone: (773) 782-2800
Type: Location
401, Northwest 14th Street, Miami, Miami-Dade County, Florida, 33136, United States
MIAMI, FL 331251609
Phone: (305) 297-7014
Type: Location
609 W Johnson Ave Ste 104
Cheshire, CT 064104506
Phone: (888) 344-3893
Fax: (860) 828-0473
Type: Location
250 Woodlake Ln
Deerfield Beach, FL 334423728
Phone: (888) 344-3893
Fax: (860) 828-0473
Type: Location
171 Dwight Rd
Longmeadow, MA 011061673
Phone: (888) 344-3893
Fax: (860) 828-0473
Type: Location
770 Saybrook Rd
Middletown, CT 064574739
Phone: (888) 344-3893
Fax: (860) 828-0473
Type: Location
3000 S Red Rd
Miami, FL 331554029
Phone: (305) 297-7014
Fax: (305) 297-7014
Type: Location
100 Pearl St
Hartford, CT 061034506
Phone: (323) 676-1233
Type: Location
3000 S RED RD
MIAMI, FL 331554029
Phone: (305) 297-7014
Fax: (305) 297-7014
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: 2025-11-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 6 Medicare enrollment records; no due dates published yet.
Enrollment records
6
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 |
|---|---|---|---|---|
| I20210205001446 | I | Nurse Practitioner | FL | TBD |
| I20231128003508 | I | Nurse Practitioner | CT | TBD |
| I20231218003526 | I | Nurse Practitioner | MA | TBD |
| I20250423001383 | I | Nurse Practitioner | NY | TBD |
| I20250423002319 | I | Nurse Practitioner | IL | TBD |
| I20251104002386 | I | Nurse Practitioner | NM | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60647)
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