Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Diana Hope Manderson , APRN

Nurse Practitioner - Pediatrics โ€ข St Augustine, FL

Active NPI 1114619921 Individual Practitioner Female Practitioner
Practice location in NPPES

136 Prairie Ridge Dr
St Augustine, FL 320921852

Call 9044046626 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

136 Prairie Ridge Dr

St Augustine, FL 320921852

Telephone 9044046626
Other Listings in Public Data

NPPES lists 1 additional practice-address record in Orlando, FL. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare patients

144 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $62,408 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $49,682 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

30-day fills

2,657 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$138,438 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers โ€“ by Provider and Drug, 2024.

Open Payments general payments, program year 2025

All general payments: $59.53 across 3 records.

By nature of payment

  • Food and Beverage: $59.53 across 3 records.

Reporting-company totals

  • Seqirus USA Inc: $25.91 across 1 record.
  • Pulmonx Corporation: $18.10 across 1 record.
  • ALK-Abello, Inc: $15.52 across 1 record.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

NPI first issued

2023

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Diana Manderson has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Diana Manderson as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in St Augustine and Florida

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 60% of clinicians listed under Nurse Practitioner - Pediatrics in Florida (2024, 15 clinicians with data). Median for this group: 539. Middle half: 139 to 1,380.

Too few clinicians listed under Nurse Practitioner - Pediatrics in St Augustine have Medicare Part B data for 2024 to compare.

Medicare-allowed amount

A higher Medicare-allowed amount than 70% of clinicians listed under Nurse Practitioner - Pediatrics in Florida (2024, 15 clinicians with data). Median for this group: $29,848. Middle half: $10,181 to $73,246.

Too few clinicians listed under Nurse Practitioner - Pediatrics in St Augustine have Medicare Part B data for 2024 to compare.

Paid by Medicare

A higher Medicare payment amount than 70% of clinicians listed under Nurse Practitioner - Pediatrics in Florida (2024, 15 clinicians with data). Median for this group: $21,139. Middle half: $7,255 to $58,331.

Too few clinicians listed under Nurse Practitioner - Pediatrics in St Augustine have Medicare Part B data for 2024 to compare.

Medicare Part D prescriptions

More Part D prescriptions than 95% of clinicians listed under Nurse Practitioner - Pediatrics in Florida (2024, 33 clinicians with data). Median for this group: 71. Middle half: 18 to 279.

Too few clinicians listed under Nurse Practitioner - Pediatrics in St Augustine have Medicare Part D data for 2024 to compare.

Part D drug cost

A higher Part D drug cost than 80% of clinicians listed under Nurse Practitioner - Pediatrics in Florida (2024, 33 clinicians with data). Median for this group: $2,763. Middle half: $463 to $80,533.

Too few clinicians listed under Nurse Practitioner - Pediatrics in St Augustine have Medicare Part D data for 2024 to compare.

5 active clinicians are listed under Nurse Practitioner - Pediatrics with a practice address in St Augustine, FL (1,544 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments ยท Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 โ€“ December 31, 2025): fewer than 11 records totaling $59.53.

Manufacturer Payment Nature Product Type Amount ($)
Seqirus USA Inc
Food and Beverage
In-kind items and services
Flucelvax General $25.91
Pulmonx Corporation
Food and Beverage
In-kind items and services
CHARTIS CATHETER General $18.10
ALK-Abello, Inc
Food and Beverage
In-kind items and services
Odactra General $15.52

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code 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

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D ยท Data Year 2024
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Atorvastatin Calcium Atorvastatin Calcium 79 4,424 $461.62 32
Gabapentin Gabapentin 69 3,466 $958.90 28
Amlodipine Besylate Amlodipine Besylate 69 5,332 $399.36 34
Albuterol Sulfate Hfa Albuterol Sulfate 64 1,259 $1,325.35 20
Levothyroxine Sodium Levothyroxine Sodium 56 3,566 $451.00 18
Losartan Potassium Losartan Potassium 54 3,323 $385.13 21
Omeprazole Omeprazole 49 3,018 $1,027.20 17
Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav 35 283 $361.90 34
Pantoprazole Sodium Pantoprazole Sodium 32 1,904 $239.57 16
Rosuvastatin Calcium Rosuvastatin Calcium 32 2,282 $341.26 13
Lisinopril Lisinopril 31 2,530 $136.45 15
Montelukast Sodium Montelukast Sodium 28 1,564 $219.81 14
Symbicort Budesonide/Formoterol Fumarate 28 1,020 $7,127.36 โ€”
Fluconazole Fluconazole 27 66 $198.12 18
Fluoxetine Hcl Fluoxetine Hcl 26 1,365 $116.93 โ€”
Metoprolol Tartrate Metoprolol Tartrate 25 2,010 $86.73 14
Methylprednisolone Methylprednisolone 25 150 $217.05 24
Metoprolol Succinate Metoprolol Succinate 25 1,552 $405.80 12
Ozempic Semaglutide 24 1,070 $29,606.69 โ€”
Fluticasone Propionate Fluticasone Propionate 23 950 $343.21 โ€”
Metformin Hcl Metformin Hcl 23 1,495 $143.72 โ€”
Meloxicam Meloxicam 22 824 $112.33 โ€”
Tamsulosin Hcl Tamsulosin Hcl 22 1,664 $162.08 โ€”
Buspirone Hcl Buspirone Hcl 22 983 $253.99 โ€”
Doxycycline Hyclate Doxycycline Hyclate 21 216 $182.80 19

(top 25 shown)

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-12-07
Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

License # reported to NPPES FL 11026420
Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

License # reported to NPPES FL APRN11026420
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - NURSE PRACTITIONER

Medicare Enrollment ID

I20231113002665

Enrollment State Jurisdiction

FL

PECOS Control ID

8123475191

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

111 N Orange Ave Ste 800

Orlando, FL 328012381

Phone: 8887318994

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
๐Ÿข
Secondary Practice Location Registered December 07, 2025

Additional practice office at 111 N Orange Ave Ste 800, Orlando, FL 328012381

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 07, 2025

Nurse Practitioner (license number reported to NPPES: FL 11026420)

โœ…
NPI Profile Active May 22, 2023

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) May 22, 2023

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

๐Ÿ“
Business Mailing Address (Initial Record) May 22, 2023

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

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) May 22, 2023

Recorded as DIANA MANDERSON, APRN

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 22, 2023

Nurse Practitioner (license number reported to NPPES: FL APRN11026420)

๐ŸŸข
Initial NPI Registration & Enumeration May 22, 2023

First registered as active Individual Practitioner in NPPES Database.

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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

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.