MS. DIANE E MCKENZIE (NP) – Family Nurse Practitioner, NPI 1750476248

MS. DIANE E MCKENZIE (NP) is a healthcare provider. based in Calumet park, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 209003923 (IL). The NPI Number for MS. DIANE E MCKENZIE (NP) is 1750476248

Main info

Female
28 Years Of Experience
Accepts Medicare Assignment
Name
MS. DIANE E MCKENZIE (NP)
NPI
1750476248
Phone
(708) 396-2820
Address
12311 S MORGAN ST
Enumeration Date
3 October 2006
Last Update Date
13 June 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7084852273
Graduation Year
1998 (28 years ago)
PAC ID
2668410630
Group Practice PAC ID
3971764762
Professional Enrollment ID
I20050420000656
Address ID
IL605253956CO6150XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

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Provider Addresses for MS. DIANE E MCKENZIE (NP)

  • Morgan Street, Calumet Park, Calumet Township, Cook County, Illinois, 60827, United States

    CALUMET PARK, IL 608276222

    Phone: (708) 396-2820

    Type: Mailing

  • Lincoln Highway, Frankfort, Will County, Illinois, 60423, United States

    MOKENA, IL 604488208

    Phone: (815) 464-2171

    Fax: (815) 464-2176

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $272.

Total Amount is formed as General ($272) + Research ($0) + Ownership ($0) = $272.

Last reported payment date: 2024-04-29 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($121).

Total Amount

$272

General + Research + Ownership

Payments

4

Total payment records

General Amount

$272

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-29

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2005-04-20

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050420000656INurse 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60827)

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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: 3971764762View full group profile
NameSpecialtyState
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerIL
Physical Therapist In Private PracticeIL
C H I R O P R A C T I CIL
Family PracticeIL
C H I R O P R A C T I CIL
Clinical PsychologistIN
Nurse PractitionerMN
Nurse PractitionerIL

Reviews

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Frequently asked questions

What is the standard ID for MS. DIANE E MCKENZIE (NP) in the U.S.?
In the U.S., MS. DIANE E MCKENZIE (NP) is identified by NPI 1750476248.
Is MS. DIANE E MCKENZIE (NP)'s NPI status active today?
Active status means MS. DIANE E MCKENZIE (NP)'s NPI record is not deactivated in the public file.
What type of care does MS. DIANE E MCKENZIE (NP) provide?
MS. DIANE E MCKENZIE (NP)'s profile centers on Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MS. DIANE E MCKENZIE (NP)?
MS. DIANE E MCKENZIE (NP) is associated with Calumet Park, Illinois in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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