DIANA CUNANAN – Family Nurse Practitioner, NPI 1104651595

DIANA CUNANAN is a healthcare provider. based in Las vegas, Nevada. specializing in NURSE PRACTITIONER. They hold a License No. 881135 (NV). The NPI Number for DIANA CUNANAN is 1104651595

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
DIANA CUNANAN
NPI
1104651595
Phone
(702) 779-6800
Address
7380 W SAHARA AVE STE 160
Enumeration Date
4 September 2024
Last Update Date
7 February 2025

Doctor Profile

Medical School Name
TOURO UN COL OF OSTEOPATHIC MEDICINE, HENDERSON
Secondary Phone
7028359870
Graduation Year
2024 (2 years ago)
PAC ID
5092238980
Group Practice PAC ID
6800118522
Professional Enrollment ID
I20250401002677
Address ID
NV891494596LA6850XDRXX406
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

2,972 NURSE PRACTITIONER in NV

Provider Addresses for DIANA CUNANAN

  • 7380 W SAHARA AVE STE 160

    LAS VEGAS, NV 891172762

    Phone: (702) 779-6800

    Fax: (702) 781-1700

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-04-01

PECOS data refreshed: 2026-06-15

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
I20250401002677INurse PractitionerNVTBD

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 89117)

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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: 6800118522View full group profile
NameSpecialtyState
Family PracticeNV
Internal MedicineNJ
Internal MedicineNV
Family PracticeNV
Colorectal Surgery (Proctology), General SurgeryDC
General SurgeryNV
Family PracticeNY
Internal MedicineNV
-AZ
Thoracic Surgery, Cardiac Surgery, Vascular SurgeryNV

Reviews

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Frequently asked questions

How is DIANA CUNANAN identified in CMS data?
CMS-hosted NPPES data lists DIANA CUNANAN with NPI 1104651595.
Is DIANA CUNANAN still practicing?
DIANA CUNANAN is currently listed as active in the public NPI registry.
What taxonomy line describes DIANA CUNANAN?
For research purposes, treat DIANA CUNANAN as Family Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for DIANA CUNANAN?
DIANA CUNANAN's geographic hint is Las Vegas, Nevada in our summary view.
Why does DIANA CUNANAN have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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