ANDREW M DIAMOND (CRNP) – Nurse Practitioner, NPI 1679758668

ANDREW M DIAMOND (CRNP) is a healthcare provider. based in Mount laurel, New Jersey. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. 38MC006634 (NJ). The NPI Number for ANDREW M DIAMOND (CRNP) is 1679758668

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
ANDREW M DIAMOND (CRNP)
NPI
1679758668
Phone
(856) 983-5422
Address
17000 Commerce Pkwy
Enumeration Date
8 January 2008
Last Update Date
9 November 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7175315638
Graduation Year
2022 (4 years ago)
PAC ID
6709060924
Group Practice PAC ID
3870405483
Professional Enrollment ID
I20221031000693
Address ID
PA170332360HE500XXDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness75
Years active:18State licenses:2Digital endpointsOther names

7,515 NURSE PRACTITIONER in NJ

Provider Addresses for ANDREW M DIAMOND (CRNP)

  • 17000 Commerce Pkwy

    Suite D

    Mount Laurel, NJ 080542267

    Phone: (856) 983-5422

    Fax: (856) 983-6579

    Type: Location

  • Commerce Parkway, Mount Laurel Township, Burlington County, New Jersey, 08054, United States

    SUITE D

    MOUNT LAUREL, NJ 080542267

    Phone: (856) 983-5422

    Fax: (856) 983-6579

    Type: Mailing

  • 500 UNIVERSITY DR

    HERSHEY, PA 170332360

    Phone: (800) 243-1455

    Type: Mailing

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: 2022-10-31

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
I20221031000693INurse PractitionerPATBD

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 08054)

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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: 3870405483View full group profile
NameSpecialtyState
P A T H O L O G YPA
Vascular SurgeryMD
O P H T H A L M O L O G YPA
-PA
Nurse PractitionerPA
-FL
-PA
-PA
Emergency MedicinePA
Critical Care (Intensivists)PA

Reviews

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Frequently asked questions

Is there an official ID for ANDREW M DIAMOND (CRNP) in U.S. healthcare records?
The official identifier for ANDREW M DIAMOND (CRNP) is NPI 1679758668.
Is ANDREW M DIAMOND (CRNP) still an active registrant?
ANDREW M DIAMOND (CRNP) carries an active NPI according to the public dataset.
What area of care is associated with ANDREW M DIAMOND (CRNP)?
ANDREW M DIAMOND (CRNP)'s record emphasizes Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for ANDREW M DIAMOND (CRNP)?
Travel planning: use Mount Laurel, New Jersey as the reference point for ANDREW M DIAMOND (CRNP), then confirm.
When was this NPI issued?
Enumeration for ANDREW M DIAMOND (CRNP) is noted as January 8, 2008 where the registry provides it.

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