TANISHA ANNER DIAZ (FNP-BC) – Nurse Practitioner, NPI 1164186540

TANISHA ANNER DIAZ (FNP-BC) is a healthcare provider. based in Blue springs, Missouri. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-BC. They hold a License No. 2021041802 (MO). The NPI Number for TANISHA ANNER DIAZ (FNP-BC) is 1164186540

Main info

Female
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
TANISHA ANNER DIAZ (FNP-BC)
NPI
1164186540
Phone
(816) 228-5900
Address
201 NW R D Mize Rd
Enumeration Date
22 October 2021
Last Update Date
1 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5058637000
Graduation Year
2021 (5 years ago)
PAC ID
4486049889
Group Practice PAC ID
1759293855
Professional Enrollment ID
I20230427003141
Address ID
NM873015683GA1901XDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:4State licenses:1Digital endpointsOther names

7,017 NURSE PRACTITIONER in MO

Provider Addresses for TANISHA ANNER DIAZ (FNP-BC)

  • 201 NW R D Mize Rd

    Blue Springs, MO 640142513

    Phone: (816) 228-5900

    Type: Location

  • 9031 WALNUT ST

    KANSAS CITY, MO 641143728

    Phone: (816) 877-1981

    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 $17.

Total Amount is formed as General ($17) + Research ($0) + Ownership ($0) = $17.

Last reported payment date: 2024-06-05 • Largest payer in this snapshot: Ardelyx, Inc. ($17).

Total Amount

$17

General + Research + Ownership

Payments

1

Total payment records

General Amount

$17

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-05

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Ardelyx, Inc.$17
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: 2023-04-27

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
I20220322002366INurse PractitionerMOTBD
I20230427003141INurse PractitionerNMTBD

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 64014)

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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: 1759293855View full group profile
NameSpecialtyState
General SurgeryNM
Physician AssistantNM
Internal MedicineCO
P O D I A T R YFL
-NM
Nurse PractitionerNM
Nephrology, Internal MedicineWA
Internal Medicine, Nephrology, Nephrology, Geriatric MedicineNM
Internal MedicineTX
H O S P I T A L I S TNM

Reviews

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Frequently asked questions

Can I verify TANISHA ANNER DIAZ (FNP-BC) with an NPI only?
You can start verification with NPI 1164186540 for TANISHA ANNER DIAZ (FNP-BC), then check state licensing separately.
Does CMS list TANISHA ANNER DIAZ (FNP-BC) as active?
Yes — TANISHA ANNER DIAZ (FNP-BC) is active in the NPI listing used on this page.
What taxonomy line describes TANISHA ANNER DIAZ (FNP-BC)?
For research purposes, treat TANISHA ANNER DIAZ (FNP-BC) as Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Does TANISHA ANNER DIAZ (FNP-BC) list a practice location?
Patients near Blue Springs, Missouri may find TANISHA ANNER DIAZ (FNP-BC) in results; validate coverage separately.
Why does TANISHA ANNER DIAZ (FNP-BC) have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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