MS. DIANE M COCKBURN (ANP) – Adult Health Nurse Practitioner, NPI 1275627325

MS. DIANE M COCKBURN (ANP) is a healthcare provider. based in Portland, Oregon. specializing in Adult Health Nurse Practitioner. They hold the professional credentials ANP. They hold a License No. 200250099 (OR). The NPI Number for MS. DIANE M COCKBURN (ANP) is 1275627325

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
MS. DIANE M COCKBURN (ANP)
NPI
1275627325
Phone
(503) 331-6500
Address
3600 N INTERSTATE AVE
Enumeration Date
3 October 2006
Last Update Date
21 December 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8008132000
Graduation Year
2002 (24 years ago)
PAC ID
3870541105
Group Practice PAC ID
5799688230
Professional Enrollment ID
I20050104000448

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/interconnect-prodnwm/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

Provider Addresses for MS. DIANE M COCKBURN (ANP)

  • 3600 N INTERSTATE AVE

    PORTLAND, OR 972271106

    Phone: (503) 331-6500

    Fax: (503) 331-6505

    Type: Location

  • 875, Oak Street Southeast, Salem, Marion County, Oregon, 97301, United States

    SUITE 4030

    SALEM, OR 973013975

    Phone: (503) 561-6444

    Fax: (503) 561-6440

    Type: Mailing

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 $35.

Total Amount is formed as General ($35) + Research ($0) + Ownership ($0) = $35.

Last reported payment date: 2024-05-01 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($35).

Total Amount

$35

General + Research + Ownership

Payments

1

Total payment records

General Amount

$35

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-01

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: 2018-05-31

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
I20180531000673INurse PractitionerWATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
96413Administration of chemotherapy into vein, 1 hour or less6019$0
99214Established patient office or other outpatient visit, 30-39 minutes1514$0
View full utilization report →

Insurance plans in this area (ZIP 97227)

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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: 5799688230View full group profile
NameSpecialtyState
U R O L O G YTX
Emergency MedicineOR
D E R M A T O L O G YAZ
Nurse PractitionerOR
Diagnostic RadiologyOR
D E R M A T O L O G YWA
-OR
-CA
General SurgeryCA
-OR

Reviews

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Frequently asked questions

What identifier follows MS. DIANE M COCKBURN (ANP) across health systems?
The NPI 1275627325 uniquely identifies MS. DIANE M COCKBURN (ANP) in U.S. healthcare data.
Quick check: is MS. DIANE M COCKBURN (ANP) active?
Public NPPES data shows MS. DIANE M COCKBURN (ANP) with an active NPI status right now.
What services align with MS. DIANE M COCKBURN (ANP)'s listing?
MS. DIANE M COCKBURN (ANP)'s public classification highlights Adult Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What city is tied to MS. DIANE M COCKBURN (ANP)?
The directory associates MS. DIANE M COCKBURN (ANP) with Portland, Oregon. Check all listed addresses for suites or satellite offices.
Can I export MS. DIANE M COCKBURN (ANP)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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