DIANA IVETH GODINEZ (NP) – Family Nurse Practitioner, NPI 1316295249

DIANA IVETH GODINEZ (NP) is a healthcare provider. based in Grand prairie, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 12086 (TX). The NPI Number for DIANA IVETH GODINEZ (NP) is 1316295249

Main info

Female
9 Years Of Experience
Name
DIANA IVETH GODINEZ (NP)
NPI
1316295249
Phone
(214) 636-5393
Address
514 MOORGATE CT
Enumeration Date
27 August 2012
Last Update Date
17 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4695024772
Graduation Year
2017 (9 years ago)
PAC ID
6608139175
Group Practice PAC ID
9436513256
Professional Enrollment ID
I20180416000377
Address ID
TX752470000DA8585XFWYX402
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness85
Years active:13State licenses:2Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for DIANA IVETH GODINEZ (NP)

  • 514 MOORGATE CT

    GRAND PRAIRIE, TX 750523462

    Phone: (214) 636-5393

    Type: Mailing

  • 1401 W JEFFERSON BLVD

    DALLAS, TX 752085326

    Phone: (214) 941-9200

    Fax: (214) 941-9262

    Type: Location

  • 620 N O CONNOR RD

    IRVING, TX 750617530

    Phone: (972) 259-3541

    Fax: (972) 225-4101

    Type: Mailing

  • 8585 N STEMMONS FWY STE S-105

    DALLAS, TX 752473836

    Phone:

    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: 2018-04-16

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
I20180416000377INurse PractitionerTXTBD

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 75052)

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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: 9436513256View full group profile
NameSpecialtyState
Family PracticeTX
Physical Medicine And RehabilitationTX

Reviews

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Frequently asked questions

What is the 10-digit NPI for DIANA IVETH GODINEZ (NP)?
DIANA IVETH GODINEZ (NP) — NPI 1316295249 — is the standard way to identify this listing.
Is DIANA IVETH GODINEZ (NP) listed as active for patients and plans?
The listing shows DIANA IVETH GODINEZ (NP) as active in the NPI system.
What is DIANA IVETH GODINEZ (NP) best known for clinically?
Directory data describes DIANA IVETH GODINEZ (NP) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is DIANA IVETH GODINEZ (NP) based?
DIANA IVETH GODINEZ (NP) is tied to Grand Prairie, Texas in the data we show; additional addresses may exist on the full record.
Is the information about DIANA IVETH GODINEZ (NP) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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