DIANA SCANLON (CNP) – Nurse Practitioner, NPI 1043651458

DIANA SCANLON (CNP) is a healthcare provider. based in Shelby township, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials CNP. They hold a License No. 4704267416 (MI). The NPI Number for DIANA SCANLON (CNP) is 1043651458

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
DIANA SCANLON (CNP)
NPI
1043651458
Phone
(586) 247-4300
Address
45640 SCHOENHERR RD
Enumeration Date
13 July 2013
Last Update Date
27 October 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5862867800
Graduation Year
2013 (13 years ago)
PAC ID
5890921316
Group Practice PAC ID
6204733256
Professional Enrollment ID
I20131111001350
Address ID
MI483156033SH45650RDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:12State licenses:1Digital endpointsOther names

8,106 NURSE PRACTITIONER in MI

Provider Addresses for DIANA SCANLON (CNP)

  • 45640 SCHOENHERR RD

    SUITE B

    SHELBY TOWNSHIP, MI 483156033

    Phone: (586) 247-4300

    Fax: (586) 532-6496

    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)

CMS reports 2 Open Payments records for all available years, with a total value of $32.

Total Amount is formed as General ($32) + Research ($0) + Ownership ($0) = $32.

Last reported payment date: 2024-04-25 • Largest payer in this snapshot: CORDIS US CORP. ($32).

Total Amount

$32

General + Research + Ownership

Payments

2

Total payment records

General Amount

$32

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-25

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
CORDIS US CORP.$32
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: 2013-11-11

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
I20131111001350INurse PractitionerMITBD

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
99214Established patient office or other outpatient visit, 30-39 minutes13388$0
View full utilization report →

Insurance plans in this area (ZIP 48315)

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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: 6204733256View full group profile
NameSpecialtyState
Nurse PractitionerMI
Nurse PractitionerMI
N E P H R O L O G YNY
Nurse PractitionerID
Nephrology, Internal MedicineMI
N E P H R O L O G YMI
N E P H R O L O G YMI
Nephrology, Internal MedicineMI
N E P H R O L O G YMI
-MI

Reviews

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Frequently asked questions

Can I use this page to confirm DIANA SCANLON (CNP)'s NPI?
Yes. DIANA SCANLON (CNP) is listed with NPI 1043651458 in the public NPI dataset.
Does CMS list DIANA SCANLON (CNP) as active?
Yes — DIANA SCANLON (CNP) is active in the NPI listing used on this page.
What is DIANA SCANLON (CNP)'s primary classification?
Nurse Practitioner is the headline specialty for DIANA SCANLON (CNP) here. Clinical services aligned with this taxonomy classification.
Where should I expect DIANA SCANLON (CNP) on a map?
Expect Shelby Township, Michigan as a primary anchor for DIANA SCANLON (CNP) unless the record lists multiple sites.
Is the information about DIANA SCANLON (CNP) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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