Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1114619921 Individual Practitioner Female Practitioner

Diana Hope Manderson , APRN

Nurse Practitioner - Pediatrics • St Augustine, FL

Professional Overview & Biography Verified Profile Summary

Diana Manderson, APRN is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in St Augustine, FL. Practice services are available at 136 PRAIRIE RIDGE DR under active NPI credentials.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, hospital discharge day management, more than, initial hospital care with moderate level of medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

136 Prairie Ridge Dr

St Augustine, FL 320921852

Telephone 9044046626

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in St Augustine, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 2.0 Yrs
State Avg: 10.9 Yrs
Regional Practice Density
5 Specialists

Practicing in St Augustine, FL (1565 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
72.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
365 117 $319.00 $98.77
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
237 101 $221.00 $65.66
99239 Hospital discharge day management, more than 30 minutes
50 49 $327.00 $94.79
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
42 41 $619.00 $144.18

Medical Specialties & State Licenses

CMS Verified: 2025-12-07
Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License FL 11026420

Definition to come...

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License FL APRN11026420

Definition to come...

Secondary Practice Locations

111 N Orange Ave Ste 800

Orlando, FL 328012381

Phone: 8887318994

Career & Practice History Timeline

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

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 07, 2025

Nurse Practitioner (License #11026420 in FL)

NPI Profile Active May 22, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location May 22, 2023

Registered at 136 PRAIRIE RIDGE DR, ST AUGUSTINE, FL 320921852 (Tel: 9044046626)

📍
Updated Business Mailing Address May 22, 2023

Registered at 136 PRAIRIE RIDGE DR, ST AUGUSTINE, FL 320921852 (Tel: 9044046626)

👤
Provider Name / Credentials Updated May 22, 2023

Recorded as DIANA MANDERSON, APRN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 22, 2023

Nurse Practitioner (License #APRN11026420 in FL)

🟢
Initial NPI Registration & Enumeration May 22, 2023

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: 1114619921
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 22, 2023
Last Update: December 07, 2025
Sole Proprietor: No

Mailing Address

136 Prairie Ridge Dr

St Augustine, FL 320921852

Phone: 9044046626

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.