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Deactivated NPI 1649497066 Deactivated / Inactive NPI Female Practitioner

Diana L Wetzbarger

General Practice • Boulder, CO

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Diana Wetzbarger has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 19, 2007
NPI Deactivation Date January 11, 2022
Total Practice Duration ~15 Years of Practice (2007 – 2022)

Professional Overview & Biography Verified Profile Summary

Diana Wetzbarger was a registered General Practice practicing in Boulder, CO. Throughout an active medical career spanning 15 years, Diana Wetzbarger provided care at the practice location at 580 MOHAWK DR until profile deactivation on 2022-01-11.

Practice Location & Contact Primary Location

Practice Address

580 Mohawk Dr

Boulder, CO 803033712

Telephone 3035545185
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Boulder, CO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.4 Yrs
Regional Practice Density
11 Specialists

Practicing in Boulder, CO (331 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License CO 74889

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Jessica Wallace

Registered Nurse

NPI 1184820565

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated January 11, 2022

Record deactivated on January 11, 2022

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 580 MOHAWK DR, BOULDER, CO 803033712 (Tel: 3035545185)

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Updated Business Mailing Address July 08, 2007

Registered at 580 MOHAWK DR, BOULDER, CO 803033712

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Provider Name / Credentials Updated July 08, 2007

Recorded as DIANA WETZBARGER

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

General Practice (License #74889 in CO)

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Initial NPI Registration & Enumeration April 19, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1649497066
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 19, 2007
Last Update: July 08, 2007
Deactivation Date: January 11, 2022

Mailing Address

580 Mohawk Dr

Boulder, CO 803033712

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.