DIANNE PERDUE (FNP-C) – Family Nurse Practitioner, NPI 1407040363

DIANNE PERDUE (FNP-C) is a healthcare provider. based in Portland, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. AP113401 (TX). The NPI Number for DIANNE PERDUE (FNP-C) is 1407040363

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
DIANNE PERDUE (FNP-C)
NPI
1407040363
Phone
Not provided
Address
1627 WILDCAT DR
Enumeration Date
4 September 2007
Last Update Date
7 December 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3617292225
Graduation Year
2004 (22 years ago)
PAC ID
3072565274
Group Practice PAC ID
4284933805
Professional Enrollment ID
I20050216000330
Address ID
TX783823302RO2011XNXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:18State licenses:1Digital endpointsOther names

22,209 NURSE PRACTITIONER in TX

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Provider Addresses for DIANNE PERDUE (FNP-C)

  • 1627, Wildcat Drive, Portland, San Patricio County, Texas, 78374, United States

    PORTLAND, TX 783742815

    Phone:

    Type: Mailing

  • 1627 Wildcat Dr

    Portland, TX 783742815

    Phone: (361) 643-1552

    Type: Location

  • 800 W HIGHWAY 71

    MARBLE FALLS, TX 786548606

    Phone: (830) 201-7100

    Type: Location

  • PO BOX 844658

    DALLAS, TX 752844658

    Phone: (800) 994-0371

    Fax: (254) 215-9722

    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 $17.

Total Amount is formed as General ($17) + Research ($0) + Ownership ($0) = $17.

Last reported payment date: 2024-01-29 • Largest payer in this snapshot: Lilly USA, LLC ($17).

Total Amount

$17

General + Research + Ownership

Payments

1

Total payment records

General Amount

$17

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-29

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Lilly USA, LLC$17
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: 2005-02-16

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
I20050216000330INurse 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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes4140$0
99214Established patient office or other outpatient visit, 30-39 minutes1616$0
View full utilization report →

Insurance plans in this area (ZIP 78374)

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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: 4284933805View full group profile
NameSpecialtyState
C H I R O P R A C T I CTX
Physical Therapist In Private PracticeTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

What identifier follows DIANNE PERDUE (FNP-C) across health systems?
The NPI 1407040363 uniquely identifies DIANNE PERDUE (FNP-C) in U.S. healthcare data.
Is DIANNE PERDUE (FNP-C)'s NPI status active today?
Active status means DIANNE PERDUE (FNP-C)'s NPI record is not deactivated in the public file.
What does the directory say DIANNE PERDUE (FNP-C) does?
Insurance directories may phrase it differently, but here DIANNE PERDUE (FNP-C) maps to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to DIANNE PERDUE (FNP-C)?
DIANNE PERDUE (FNP-C) shows a connection to Portland, Texas in registry-derived data.
Why is information missing for DIANNE PERDUE (FNP-C)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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