DIANA KRISTINE FALISE (APRN) – Family Nurse Practitioner, NPI 1083301998

DIANA KRISTINE FALISE (APRN) is a healthcare provider. based in Lebanon, Oregon. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 11023933 (FL). The NPI Number for DIANA KRISTINE FALISE (APRN) is 1083301998

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
DIANA KRISTINE FALISE (APRN)
NPI
1083301998
Phone
(541) 666-3305
Address
3400 Cooperative Way
Enumeration Date
20 April 2023
Last Update Date
18 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5416407625
Graduation Year
2022 (4 years ago)
PAC ID
0244680031
Group Practice PAC ID
1355406729
Professional Enrollment ID
I20250904002365
Address ID
OR973553984LE3400XWAYX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness85
Years active:3State licenses:3Digital endpointsOther names

3,379 NURSE PRACTITIONER in OR

Provider Addresses for DIANA KRISTINE FALISE (APRN)

  • 3400 Cooperative Way

    Lebanon, OR 973554063

    Phone: (541) 666-3305

    Fax: (541) 666-3306

    Type: Location

  • 1302 RIVER ST

    PALATKA, FL 321775042

    Phone: (386) 328-0108

    Fax: (386) 325-1086

    Type: Mailing

  • 1305 N ORANGE AVE

    GREEN COVE SPRINGS, FL 320432547

    Phone: (904) 284-5904

    Fax: (904) 284-5905

    Type: Location

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 $16.

Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.

Last reported payment date: 2024-04-09 • Largest payer in this snapshot: Exact Sciences Corporation ($16).

Total Amount

$16

General + Research + Ownership

Payments

1

Total payment records

General Amount

$16

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-09

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2025-09-04

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
I20231219003870INurse PractitionerFLTBD
I20250904002365INurse PractitionerORTBD

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 97355)

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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: 1355406729View full group profile
NameSpecialtyState
-OR
Family PracticeOR
Physician AssistantTN
Physician AssistantCA
Nurse PractitionerOR
Physician AssistantNY
-OR
Physician AssistantOR
Physician AssistantOR
-OR

Reviews

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Frequently asked questions

What is the 10-digit NPI for DIANA KRISTINE FALISE (APRN)?
DIANA KRISTINE FALISE (APRN) — NPI 1083301998 — is the standard way to identify this listing.
Does CMS list DIANA KRISTINE FALISE (APRN) as active?
Yes — DIANA KRISTINE FALISE (APRN) is active in the NPI listing used on this page.
What taxonomy line describes DIANA KRISTINE FALISE (APRN)?
For research purposes, treat DIANA KRISTINE FALISE (APRN) as Family Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for DIANA KRISTINE FALISE (APRN)?
DIANA KRISTINE FALISE (APRN)'s geographic hint is Lebanon, Oregon in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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