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Active NPI 1467816934 Individual Practitioner Male Practitioner

Dustin Diller

Nurse Practitioner • Fort Wayne, IN

Professional Overview & Biography Verified Profile Summary

Dustin Diller is a registered healthcare professional specializing in Nurse Practitioner in Fort Wayne, IN. Practice services are available at 11141 PARKVIEW PLAZA DR STE 210 under active NPI credentials.

Frequently performed procedures and clinical services include new patient outpatient office visit, subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least, subsequent nursing facility care with straightforward level of medical decision making, per day, 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

11141 Parkview Plaza Dr Ste 210

Fort Wayne, IN 46845

Telephone 2602665400
Fax 2602665409
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Fort Wayne, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.2 Yrs
State Avg: 10.9 Yrs
Regional Practice Density
526 Specialists

Practicing in Fort Wayne, IN (2620 Statewide)

Telehealth Adoption Rate
23.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
16.8% 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 (2022)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
22 22 $105.45 $88.69
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
16 16 $160.94 $132.82

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IN 71006224A

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Secondary Practice Locations

3512 Stellhorn Rd

Fort Wayne, IN 468154631

Phone: 2604839081

Practice Associates & Co-Workers

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

17 Associated Practitioners
Dr. Amanda Mayle , PsyD, HSPP

Psychologist - Clinical

NPI 1003865395

Doctor of Psychology (Psy.D.), HSPP

Kristen Azzue

Physician Assistant

NPI 1043175250
Amanda Leisure , CPNP-AC, PC

Nurse Practitioner - Pediatrics

NPI 1154872653

CPNPAC, PC

Marissa Miller , NP

Nurse Practitioner

NPI 1235807686

Nurse Practitioner

Kristen Dettmer , PNP

Nurse Practitioner

NPI 1235985938

Pediatric Nurse Practitioner

Rowann Hassan

Nurse Practitioner

NPI 1275252975

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location October 03, 2018

Registered at 11141 PARKVIEW PLAZA DR STE 210, FORT WAYNE, IN 46845 (Tel: 2602665400)

📍
Updated Business Mailing Address October 03, 2018

Registered at 3702 NEW VISION DR BLDG B, FORT WAYNE, IN 468451703

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 03, 2018

Nurse Practitioner (License #71006224A in IN)

NPI Profile Active May 09, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location May 09, 2016

Registered at 3512 STELLHORN RD, FORT WAYNE, IN 468154631 (Tel: 2604839081)

📍
Updated Business Mailing Address May 09, 2016

Registered at 3512 STELLHORN RD, FORT WAYNE, IN 468154631 (Tel: 2604839081)

👤
Provider Name / Credentials Updated May 09, 2016

Recorded as DUSTIN DILLER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 09, 2016

Registered Nurse (License #28176716A in IN)

🟢
Initial NPI Registration & Enumeration April 11, 2016

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: 1467816934
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 11, 2016
Last Update: October 03, 2018
Sole Proprietor: No

Mailing Address

3702 New Vision Dr Bldg B

Fort Wayne, IN 468451703

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.