DIANA MULVEY (CRNP) – Family Nurse Practitioner, NPI 1104379924

DIANA MULVEY (CRNP) is a healthcare provider. based in Linthicum, Maryland. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. R167778 (MD). The NPI Number for DIANA MULVEY (CRNP) is 1104379924

Main info

Female
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
DIANA MULVEY (CRNP)
NPI
1104379924
Phone
(410) 353-6306
Address
117 N HAMMONDS FERRY RD
Enumeration Date
28 July 2016
Last Update Date
22 March 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8663892727
Graduation Year
2016 (10 years ago)
PAC ID
1557642238
Group Practice PAC ID
6709850241
Professional Enrollment ID
I20170112000553
Address ID
MD211224428PA28XXXRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:9State licenses:1Digital endpointsOther names

6,767 NURSE PRACTITIONER in MD

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Provider Addresses for DIANA MULVEY (CRNP)

  • 117, North Hammonds Ferry Road, Crestwood, Linthicum Oaks, Linthicum, Anne Arundel County, Maryland, 21090, United States

    LINTHICUM, MD 210902323

    Phone: (410) 353-6306

    Type: Mailing

  • 1911, Towne Centre Boulevard, Annapolis Towne Centre at Parole, Parole, Anne Arundel County, Maryland, 20776:21037, United States

    ANNAPOLIS, MD 214013020

    Phone: (410) 353-6306

    Type: Location

  • 28 MAGOTHY BEACH RD

    PASADENA, MD 211224428

    Phone: (866) 389-2727

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $66.

Total Amount is formed as General ($66) + Research ($0) + Ownership ($0) = $66.

Last reported payment date: 2023-03-05 • Largest payer in this snapshot: Phadia US Inc. ($66).

Total Amount

$66

General + Research + Ownership

Payments

1

Total payment records

General Amount

$66

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-05

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Phadia US Inc.$66
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: 2017-01-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20170112000269INurse PractitionerDCTBD
I20170112000553INurse PractitionerMDTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes5550$0
87426Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus4242$0
99203New patient office or other outpatient visit, 30-44 minutes4040$0
G0008Administration of influenza virus vaccine3535$0
90694Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage3131$0
View full utilization report →

Insurance plans in this area (ZIP 21090)

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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: 6709850241View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to DIANA MULVEY (CRNP)?
NPI 1104379924 is assigned to DIANA MULVEY (CRNP) under the national enumeration system.
Is DIANA MULVEY (CRNP)'s NPI currently valid?
The extract we use shows DIANA MULVEY (CRNP) as active.
What field does DIANA MULVEY (CRNP) work in?
You can think of DIANA MULVEY (CRNP) as practicing within Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does DIANA MULVEY (CRNP) practice in Maryland?
You will see Linthicum, Maryland on file for DIANA MULVEY (CRNP) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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