Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1730351909 Individual Practitioner Female Practitioner

Diane M. Waitkevich , NP

Nurse Practitioner • Worcester, MA

Professional Overview & Biography Verified Profile Summary

Diane Waitkevich, NP is a registered healthcare professional specializing in Nurse Practitioner in Worcester, MA. Practice services are available at 55 LAKE AVE N under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

55 Lake Ave N
Department Of Pediatrics

Worcester, MA 016550002

Telephone 5088564155
Fax 7744418071
Associated Practice Facility / Clinic
🏢 Umass Memorial Medical Center Facility NPI 1679574933

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Worcester, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.9 Yrs
State Avg: 12.5 Yrs
Regional Practice Density
506 Specialists

Practicing in Worcester, MA (3545 Statewide)

Telehealth Adoption Rate
17.6% 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

CMS Verified: 2020-11-09
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MA RN204637

(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.

Nurse Practitioner - Pediatrics

NUCC Taxonomy Code: 363LP0200X

State License MA RN204637

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
110078992A (MA)

Practice Associates & Co-Workers

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

11 Associated Practitioners
Rebecca Artinian , PA-C

Physician Assistant

NPI 1174670673

Physician Assistant (Certified)

Dr. Michelle Trivedi , MD

Pediatrics - Pediatric Pulmonology

NPI 1184851909

Doctor of Medicine (M.D.)

Emily Young , NP

Nurse Practitioner

NPI 1457459224

Nurse Practitioner

Dorothy Page , NP

Nurse Practitioner

NPI 1639198344

Nurse Practitioner

Dr. Evan Bailey , MD

Pediatrics - Pediatric Pulmonology

NPI 1720240047

Doctor of Medicine (M.D.)

Dr. Ted Kremer , MD

Pediatrics - Pediatric Pulmonology

NPI 1760464184

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 09, 2020

Nurse Practitioner (License #RN204637 in MA)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 21, 2019

Nurse Practitioner (License #RN204637 in MA)

NPI Profile Active March 05, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location March 05, 2014

Registered at 55 LAKE AVE N, DEPARTMENT OF PEDIATRICS, WORCESTER, MA 016550002 (Tel: 5088564155)

📍
Updated Business Mailing Address March 05, 2014

Registered at PO BOX 415348, BOSTON, MA 022410001 (Tel: 8002258885)

👤
Provider Name / Credentials Updated March 05, 2014

Recorded as DIANE WAITKEVICH, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 05, 2014

Nurse Practitioner (License #RN204637 in MA)

🟢
Initial NPI Registration & Enumeration March 28, 2008

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: 1730351909
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 28, 2008
Last Update: November 09, 2020
Sole Proprietor: No

Mailing Address

Po Box 415348

Boston, MA 022410001

Phone: 8002258885

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.