KRISTINA L DIEHN – Gerontology Nurse Practitioner, NPI 1013305200

KRISTINA L DIEHN is a healthcare provider. based in Cudahy, Wisconsin. specializing in NURSE PRACTITIONER. They hold a License No. 6175 (WI). The NPI Number for KRISTINA L DIEHN is 1013305200

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
KRISTINA L DIEHN
NPI
1013305200
Phone
(414) 744-4000
Address
5900 S Lake Dr
Enumeration Date
23 December 2014
Last Update Date
14 February 2025

Doctor Profile

Medical School Name
PERELMAN SCHOOL OF MED AT THE UNIVERSITY OF PENNSYLVANIA
Secondary Phone
4143254940
Graduation Year
2014 (12 years ago)
PAC ID
6103138268
Group Practice PAC ID
8628980943
Professional Enrollment ID
I20150701001938
Address ID
WI531329533FR9969XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:11State licenses:1Digital endpointsOther names

6,066 NURSE PRACTITIONER in WI

Provider Addresses for KRISTINA L DIEHN

  • 5900 S Lake Dr

    Cudahy, WI 531103171

    Phone: (414) 744-4000

    Fax: (414) 489-4022

    Type: Location

  • 10101 S 27TH ST

    FRANKLIN, WI 531327209

    Phone: (414) 325-5079

    Fax: (414) 325-4790

    Type: Mailing

  • 5900 S LAKE DR LOWR LEVEL

    CUDAHY, WI 531103171

    Phone: (414) 744-4000

    Fax: (414) 489-4022

    Type: Mailing

  • 9969 S 27TH ST FL 2

    FRANKLIN, WI 531329533

    Phone: (414) 325-4950

    Fax: (414) 325-6372

    Type: Location

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: 2015-07-01

PECOS data refreshed: 2026-06-15

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
I20150701001938INurse PractitionerWITBD

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 minutes7452$0
View full utilization report →

Insurance plans in this area (ZIP 53110)

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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: 8628980943View full group profile

Reviews

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Frequently asked questions

How do I look up KRISTINA L DIEHN by NPI?
Use NPI 1013305200 when you need to reference KRISTINA L DIEHN in forms, claims, or directories.
Does this profile mean KRISTINA L DIEHN is currently active?
Yes — KRISTINA L DIEHN appears active in the national provider directory.
Does KRISTINA L DIEHN list a primary specialty?
If you are matching referrals, note Gerontology Nurse Practitioner for KRISTINA L DIEHN. Clinical services aligned with this taxonomy classification.
What location metadata exists for KRISTINA L DIEHN?
The page summarizes Cudahy, Wisconsin for KRISTINA L DIEHN; expand the address list for detail.
Is KRISTINA L DIEHN a real provider?
This page reflects official NPPES data for NPI 1013305200. Always confirm identity and privileges with the practice and licensing boards.

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