DIANA PODLECKI (P.A.) – Physician Assistant, NPI 1982900411

DIANA PODLECKI (P.A.) is a healthcare provider. based in Missoula, Montana. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A.. They hold a License No. 40994 (MT). The NPI Number for DIANA PODLECKI (P.A.) is 1982900411

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
DIANA PODLECKI (P.A.)
NPI
1982900411
Phone
(406) 721-5600
Address
PO BOX 7609
Enumeration Date
1 February 2011
Last Update Date
11 May 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4069261088
Graduation Year
2010 (16 years ago)
PAC ID
4183805732
Group Practice PAC ID
8820305485
Professional Enrollment ID
I20150929002331
Address ID
MT598047424MI2835XRDXX414
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:15State licenses:1Digital endpointsOther names

902 PHYSICIAN ASSISTANT in MT

Provider Addresses for DIANA PODLECKI (P.A.)

  • PO BOX 7609

    MISSOULA, MT 598077609

    Phone: (406) 721-5600

    Fax: (406) 721-3907

    Type: Mailing

  • 601 W SPRUCE ST

    MISSOULA, MT 598024057

    Phone: (406) 721-5600

    Fax: (406) 721-3907

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $345.

Total Amount is formed as General ($345) + Research ($0) + Ownership ($0) = $345.

Last reported payment date: 2024-09-25 • Largest payer in this snapshot: ABBVIE INC. ($94).

Total Amount

$345

General + Research + Ownership

Payments

10

Total payment records

General Amount

$345

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-25

Latest reported date

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: 2015-09-29

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
I20150929002331IPhysician AssistantMTTBD

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 59807)

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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: 8820305485View full group profile
NameSpecialtyState
Family PracticeKS
O B S T E T R I C S/ G Y N E C O L O G YMT
Nurse PractitionerMT
Nurse PractitionerMT

Reviews

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Frequently asked questions

Can I cross-check DIANA PODLECKI (P.A.) using NPI 1982900411?
NPI 1982900411 belongs to DIANA PODLECKI (P.A.); compare other details if you need extra assurance.
Is DIANA PODLECKI (P.A.) still an active registrant?
DIANA PODLECKI (P.A.) carries an active NPI according to the public dataset.
What expertise is attributed to DIANA PODLECKI (P.A.)?
DIANA PODLECKI (P.A.)'s specialty line reads Physician Assistant. Clinical services aligned with this taxonomy classification.
Is DIANA PODLECKI (P.A.) located near Missoula?
DIANA PODLECKI (P.A.) currently maps to Missoula, Montana in this extract.
Can I trust this NPI listing for DIANA PODLECKI (P.A.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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