DIANE L SMITH (FNP) – Family Nurse Practitioner, NPI 1417940784

DIANE L SMITH (FNP) is a healthcare provider. based in Tullahoma, Tennessee. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. AP0000006502 (TN). The NPI Number for DIANE L SMITH (FNP) is 1417940784

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
DIANE L SMITH (FNP)
NPI
1417940784
Phone
(931) 455-2273
Address
711 NW ATLANTIC ST
Enumeration Date
23 August 2005
Last Update Date
22 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9319670931
Graduation Year
2000 (26 years ago)
PAC ID
4789648569
Group Practice PAC ID
5991765943
Professional Enrollment ID
I20041112000469
Address ID
TN373243818DE2008XBLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

10,664 NURSE PRACTITIONER in TN

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Provider Addresses for DIANE L SMITH (FNP)

  • 711, North Atlantic Street, Homaway Village, Tullahoma, Coffee County, Tennessee, 37388, United States

    TULLAHOMA, TN 373883562

    Phone: (931) 455-2273

    Type: Location

  • 2008 DECHERD BLVD

    DECHERD, TN 373243818

    Phone: (931) 967-0931

    Fax: (319) 967-0844

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 17 Open Payments records for all available years, with a total value of $364.

Total Amount is formed as General ($364) + Research ($0) + Ownership ($0) = $364.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Novo Nordisk Inc ($211).

Total Amount

$364

General + Research + Ownership

Payments

17

Total payment records

General Amount

$364

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

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: 2004-11-12

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
I20041112000469INurse PractitionerTNTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes459193$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit120120$0
G0444Annual depression screening, 5 to 15 minutes116116$0
J1100Injection, dexamethasone sodium phosphate, 1 mg10021$0
99213Established patient office or other outpatient visit, 20-29 minutes8369$0
View full utilization report →

Insurance plans in this area (ZIP 37388)

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Provider's Procedures

DIANE L SMITH (FNP) performs procedures in NURSE PRACTITIONER. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NURSE PRACTITIONERTN93922Ultrasound study of arteries of both arms and legs1919

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: 5991765943View full group profile
NameSpecialtyState
-TN
O B S T E T R I C S/ G Y N E C O L O G YTN
General SurgeryTN
-TN
-TN
Nurse PractitionerTN
-TN
Nurse PractitionerTN
O B S T E T R I C S/ G Y N E C O L O G YMI
General SurgeryTN

Reviews

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Frequently asked questions

Can I cross-check DIANE L SMITH (FNP) using NPI 1417940784?
NPI 1417940784 belongs to DIANE L SMITH (FNP); compare other details if you need extra assurance.
Is there an active status for DIANE L SMITH (FNP)?
For scheduling context, DIANE L SMITH (FNP) is shown as active in the registry.
What kind of doctor is DIANE L SMITH (FNP)?
DIANE L SMITH (FNP) is associated with Family Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for DIANE L SMITH (FNP)?
Travel planning: use Tullahoma, Tennessee as the reference point for DIANE L SMITH (FNP), then confirm.
Does DIANE L SMITH (FNP) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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