DIANA VITALE (NP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1265969349
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,106 NURSE PRACTITIONER in MI
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Provider Addresses for DIANA VITALE (NP)
6549 TOWN CENTER DR STE A
CLARKSTON, MI 483464824
Phone: (248) 620-6400
Type: Mailing
31500, Schoolcraft Road, Livonia, Wayne County, Michigan, 48150, United States
LIVONIA, MI 481501805
Phone: (734) 422-9340
Type: Location
1639 E BIG BEAVER RD STE 201
TROY, MI 480832054
Phone: (248) 285-9000
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 199 Open Payments records for all available years, with a total value of $3,375.
Total Amount is formed as General ($3,375) + Research ($0) + Ownership ($0) = $3,375.
Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Supernus Pharmaceuticals, Inc. ($585).
Total Amount
$3,375
General + Research + Ownership
Payments
199
Total payment records
General Amount
$3,375
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Supernus Pharmaceuticals, Inc. | $585 |
| ABBVIE INC. | $429 |
| Alkermes, Inc. | $334 |
| Corium, LLC | $238 |
| ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) | $234 |
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: 2018-04-23
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180423001099 | I | Nurse Practitioner | MI | 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 48346)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Psychiatry, Geriatric Psychiatry | MI | |
| - | MI | |
| - | MI | |
| Clinical Social Worker | MI | |
| Clinical Social Worker | MI | |
| Mental Health Counselor | MI | |
| Nurse Practitioner | MI | |
| Clinical Social Worker | MI | |
| P S Y C H I A T R Y | MI | |
| Clinical Social Worker | MI |
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