DIANE BIRD (NP) – Adult Health Nurse Practitioner, NPI 1568431716

DIANE BIRD (NP) is a healthcare provider. based in Boston, Massachusetts. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 191378 (MA). The NPI Number for DIANE BIRD (NP) is 1568431716

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
DIANE BIRD (NP)
NPI
1568431716
Phone
(617) 559-8053
Address
147 MILK ST
Enumeration Date
17 March 2006
Last Update Date
11 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
508693041079525
Graduation Year
1997 (29 years ago)
PAC ID
8123049046
Group Practice PAC ID
9931166113
Professional Enrollment ID
I20051207000690
Address ID
MA025571406OA1XXXXRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness85
Years active:20State licenses:1Digital endpointsOther names

8,972 NURSE PRACTITIONER in MA

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Provider Addresses for DIANE BIRD (NP)

  • Harvard Vanguard, 147, Milk Street, Dock Square, Financial District, Boston, Suffolk County, Massachusetts, 02110, United States

    PROVIDER ENROLLMENT - 9TH FLOOR

    BOSTON, MA 021094806

    Phone: (617) 559-8053

    Fax: (617) 421-3487

    Type: Mailing

  • 230, Worcester Street, Sheridan Estates, Wellesley, Norfolk County, Massachusetts, 02481, United States

    WELLESLEY, MA 024815420

    Phone: (781) 431-5200

    Fax: (781) 431-6298

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $560.

Total Amount is formed as General ($560) + Research ($0) + Ownership ($0) = $560.

Last reported payment date: 2024-06-25 • Largest payer in this snapshot: Abbott Laboratories ($138).

Total Amount

$560

General + Research + Ownership

Payments

5

Total payment records

General Amount

$560

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-25

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: 2005-12-07

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
I20051207000690INurse PractitionerMATBD

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 02109)

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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: 9931166113View full group profile
NameSpecialtyState
Internal Medicine, Pediatric MedicineNM
Internal MedicineMA
Emergency MedicineRI
Family PracticeME
Emergency MedicineMA
O B S T E T R I C S/ G Y N E C O L O G YMA
Physician AssistantMA
O B S T E T R I C S/ G Y N E C O L O G YMA
Psychiatry, NeuropsychiatryMD
Cardiovascular Disease (Cardiology)MI

Reviews

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Frequently asked questions

What is the 10-digit NPI for DIANE BIRD (NP)?
DIANE BIRD (NP) — NPI 1568431716 — is the standard way to identify this listing.
Is DIANE BIRD (NP) listed as active for patients and plans?
The listing shows DIANE BIRD (NP) as active in the NPI system.
What taxonomy line describes DIANE BIRD (NP)?
For research purposes, treat DIANE BIRD (NP) as Adult Health Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Where is DIANE BIRD (NP) based?
DIANE BIRD (NP) is tied to Boston, Massachusetts in the data we show; additional addresses may exist on the full record.
Is the information about DIANE BIRD (NP) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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