THERESA L. DIBLE (APRN-CNP, M.S.) – Nurse Practitioner, NPI 1407163629

THERESA L. DIBLE (APRN-CNP, M.S.) is a healthcare provider. based in Ostrander, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN-CNP, M.S.. They hold a License No. APRN.CNP.17406 (OH). The NPI Number for THERESA L. DIBLE (APRN-CNP, M.S.) is 1407163629

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
THERESA L. DIBLE (APRN-CNP, M.S.)
NPI
1407163629
Phone
(419) 961-2704
Address
248 THREE RAILS CT
Enumeration Date
9 September 2010
Last Update Date
3 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6142933873
Graduation Year
2015 (11 years ago)
PAC ID
7416263694
Group Practice PAC ID
5092613257
Professional Enrollment ID
I20150902002371
Address ID
OH430267752HI3651XDRXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:15State licenses:1Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

Provider Addresses for THERESA L. DIBLE (APRN-CNP, M.S.)

  • 248 THREE RAILS CT

    OSTRANDER, OH 430611100

    Phone: (419) 961-2704

    Type: Mailing

  • 2050 KENNY RD

    COLUMBUS, OH 432213502

    Phone: (419) 961-2704

    Type: Location

  • 700 ACKERMAN RD STE 2120

    COLUMBUS, OH 432021559

    Phone: (614) 293-2076

    Fax: (614) 366-0094

    Type: Mailing

  • 1800 ZOLLINGER RD

    COLUMBUS, OH 432212849

    Phone: (614) 293-2076

    Fax: (614) 366-0094

    Type: Location

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: 2015-09-02

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
I20150902002371INurse PractitionerOHTBD

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 43061)

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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: 5092613257View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YOH
O B S T E T R I C S/ G Y N E C O L O G YOH
O B S T E T R I C S/ G Y N E C O L O G YOH
O B S T E T R I C S/ G Y N E C O L O G YOH
O B S T E T R I C S/ G Y N E C O L O G YOH
O B S T E T R I C S/ G Y N E C O L O G YOH
Gynecological Oncology, Obstetrics/GynecologyOH
Gynecological OncologyOH
Nurse PractitionerOH
O B S T E T R I C S/ G Y N E C O L O G YOH

Reviews

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Frequently asked questions

What is the registry number for THERESA L. DIBLE (APRN-CNP, M.S.)?
The registry entry for THERESA L. DIBLE (APRN-CNP, M.S.) shows NPI 1407163629.
Is THERESA L. DIBLE (APRN-CNP, M.S.) currently accepting referrals based on NPI status?
Registry metadata lists THERESA L. DIBLE (APRN-CNP, M.S.) as active.
What does the directory say THERESA L. DIBLE (APRN-CNP, M.S.) does?
Insurance directories may phrase it differently, but here THERESA L. DIBLE (APRN-CNP, M.S.) maps to Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Can patients visit THERESA L. DIBLE (APRN-CNP, M.S.) in Ostrander, Ohio?
For routing, start with Ostrander, Ohio for THERESA L. DIBLE (APRN-CNP, M.S.), then verify phone and hours locally.
Can I export THERESA L. DIBLE (APRN-CNP, M.S.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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