DIANA ANN MCCANN (PA-C) – Medical Physician Assistant, NPI 1487438412
Medical Physician Assistant
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DIANA ANN MCCANN (PA-C)
25203 TRANQUILITY CT
WEST HARRISON, IN 470607634
Phone: (812) 577-7805
Type: Mailing
85 N GRAND AVE
FORT THOMAS, KY 410754027
Phone: (859) 572-3618
Type: Location
1500 James Simpson Jr Way
Covington, KY 410110801
Phone: (859) 655-4353
Type: Location
600 Wilson Creek Rd
Lawrenceburg, IN 470252751
Phone: (812) 532-2700
Type: Location
1 Medical Village Dr
Edgewood, KY 410173403
Phone: (859) 301-2250
Type: Location
4900 Houston Rd
Florence, KY 410424824
Phone: (859) 212-5441
Type: Location
1 Wyoming St
Dayton, OH 454092722
Phone: (937) 208-3876
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: 2024-10-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20241008000851 | I | Physician Assistant | KY | TBD |
| I20241015000720 | I | Physician Assistant | IN | TBD |
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.
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 47060)
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