DIANE KAY DORNBUSCH (RN, CPNP) – Pediatric Nurse Practitioner, NPI 1134323785
Pediatric Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DIANE KAY DORNBUSCH (RN, CPNP)
536 S Trimble Rd
Mansfield, OH 449063418
Phone: (614) 722-6200
Type: Location
740 Adair Ave
Zanesville, OH 437012838
Phone: (614) 722-6200
Type: Location
555 S 18th St
Columbus, OH 432052654
Phone: (614) 722-2000
Type: Location
7853 Pacer Dr
Delaware, OH 430157571
Phone: (614) 722-2000
Type: Location
5675 Venture Dr
Dublin, OH 430172159
Phone: (614) 722-2000
Type: Location
5665 Venture Dr
Dublin, OH 430172159
Phone: (614) 722-2000
Type: Location
716 Adair Ave
Zanesville, OH 437012836
Phone: (614) 722-2000
Type: Location
8930 Ohio River Rd
Wheelersburg, OH 456941922
Phone: (614) 722-2000
Type: Location
6435 E Broad St
Columbus, OH 432131507
Phone: (614) 722-2000
Type: Location
4439 State Route 159
Chillicothe, OH 456018207
Phone: (614) 722-2000
Type: Location
6696, Amur Drive, Northwest Columbus, Columbus, Sharon, Franklin, Ohio, 43235, United States
COLUMBUS, OH 432354245
Phone: (614) 793-8745
Type: Mailing
700 CHILDRENS DR
COLUMBUS, OH 432052664
Phone: (614) 722-2000
Type: Mailing
Nationwide Children's Hospital, 700, Children's Drive, Livingston Park, Columbus, Franklin, Ohio, 43205, United States
COLUMBUS, OH 432052664
Phone: (614) 722-3559
Fax: (614) 722-4574
Type: Location
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 $96.
Total Amount is formed as General ($96) + Research ($0) + Ownership ($0) = $96.
Last reported payment date: 2024-02-19 • Largest payer in this snapshot: United Therapeutics Corporation ($96).
Total Amount
$96
General + Research + Ownership
Payments
1
Total payment records
General Amount
$96
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| United Therapeutics Corporation | $96 |
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: 2012-07-17
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120717000578 | I | Nurse Practitioner | OH | 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 44906)
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Reviews
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