Individual provider Active NPI

Dianna Grace Ehlert, MSN, RN, AGACNP-BC

  • Adult Health Nurse Practitioner
  • Detroit, MI
National Provider Identifier
1336695923
Registry record updated May 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
4704301257 Issued in MI
Practice address
311 Mack Ave Ste 64100
Detroit, MI 48201-2466
Phone
(313) 832-0650
NPI assigned
Sep 1, 2016
Last updated
May 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0024183682 VA
Acute Care Nurse Practitioner 363LA2100X 4704301257 MI
Acute Care Nurse Practitioner 363LA2100X 65285 NM
Adult Health Nurse Practitioner 363LA2200X 4704301257 MI Primary
Gerontology Nurse Practitioner 363LG0600X SP034218 PA
Gerontology Nurse Practitioner 363LG0600X ME6859346 PA
Registered Nurse 163W00000X 4704301257 MI
Critical Care Medicine Registered Nurse 163WC0200X 65285 NM
Interventional Pain Medicine Physician 208VP0014X 4704301257 MI

Addresses

Primary practice location

311 Mack Ave Ste 64100
Detroit, MI 48201-2466

Mailing address

2041 Golfcrest Dr
Commerce TWP, MI 48382-1258

Other practice location 1

1080 First Colonial Rd Ste 400
Virginia Beach, VA 23454-2406
Phone (757) 395-8720

Other practice location 2

252 S 4th St Fl 2
Lebanon, PA 17042-6111
Phone (717) 270-3751

Other practice location 3

1030 N Monroe St
Monroe, MI 48162-3113
Phone (248) 396-9077

Other practice location 4

179 N Reading Rd
Ephrata, PA 17522-1647
Phone (717) 738-0167

Other names 1

  • Miss Dianna Peercy Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, NM, VA, PA4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20170328001973 MI Practitioner - Nurse Practitioner 1850676180 Reassigns benefits to 4 organizations
I20220120002433 NM Practitioner - Nurse Practitioner 1850676180 Reassigns benefits to 1 organization
I20220803003554 VA Practitioner - Nurse Practitioner 1850676180 Reassigns benefits to 2 organizations
I20260528001504 PA Practitioner - Nurse Practitioner 1850676180 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Wayne State University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grand Traverse Physician Services PCGroup PAC ID 2466963806, 119 clinicians
Bon Secours Medical Group Hampton Roads Specialty Care LLCGroup PAC ID 3173955671, 197 clinicians
Wellspan Medical GroupGroup PAC ID 1951213115, 2,438 clinicians

Practice addresses (Care Compare)

1105 6TH St
Traverse City, MI 49684-2345
Phone (231) 935-5000

150 Kingsley LN
Norfolk, VA 23505-4602
Phone (757) 398-2673

252 S 4TH Street 2ND Floor
Wellspan Vascular Surgery
Lebanon, PA 17042-6111
Phone (717) 270-3751

5818 Harbour View Blvd
Suffolk, VA 23435-3315

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
65285NMMDCritical Care Medicine Registered Nurse
0024183682VAMDNurse Practitioner
4704301257MIMDAdult Health Nurse Practitioner
SP034218PAMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
VHS Physicians of Michigan CurrentSince Oct 28, 2019 Accepting new patients
Sound Inpatient Physicians-Michigan, PLLC Nurse Practitioner CurrentSince Nov 9, 2024 Accepting new patients
Bon Secours Medical Group Hampton Roads Specialty Care LLC CurrentSince May 12, 2025 Accepting new patients
Spectrum Health Primary Care Partners Current Accepting new patients
Sentara Medical Group CurrentSince Jun 27, 2022 Accepting new patients
A&a Vascular, PLLC CurrentSince Nov 28, 2023 Accepting new patients
Sound Inpatient Physicians - Michigan, PLLC CurrentSince Nov 9, 2024 Accepting new patients
Unm Medical Group, Inc. CurrentSince Dec 17, 2021 Accepting new patients
Bon Secours Medical Group Hampton Roads Specialty Care LLC Nurse Practitioner CurrentSince May 12, 2025 Accepting new patients
Spectrum Health Primary Care Partners CurrentSince Dec 20, 2021 Accepting new patients
Spectrum Health Primary Care Partners CurrentSince Dec 20, 2021 Accepting new patients
Unm Medical Group Inc CurrentSince Dec 17, 2021 Accepting new patients
Grand Traverse Physician Services PC Nurse Practitioner CurrentSince Jul 1, 2025 Accepting new patients
Anesthesia Consultants of Michigan, PLLC PastSince Jan 31, 2017 Accepting new patients

Locations

22720 Michigan Ave
Ste 300
Dearborn, MI 48124
Phone (313) 791-3000

311 Mack Ave
Ste 64100
Detroit, MI 48201
Phone (313) 832-0303

311 Mack Ave
Ste 6411
Detroit, MI 48201

3901 Beaubien St
Detroit, MI 48201
Phone (313) 745-5227

1721 S Stephenson Ave
Iron Mountain, MI 49801
Phone (906) 776-5415

4444 Kalamazoo Ave SE
Ste 200
Kentwood, MI 49508
Phone (616) 391-5600

37504 7 Mile Rd
Livonia, MI 48152
Phone (734) 658-8088

580 W College Ave
Marquette, MI 49855
Phone (906) 225-3131

1105 Sixth St
Traverse City, MI 49684
Phone (231) 922-9000

933 Bradbury Dr SE
Ste 2222
Albuquerque, NM 87106
Phone (505) 272-1476

2211 Lomas Blvd NE
Unm, NM 87106
Phone (505) 272-1111

150 Kingsley Ln
Norfolk, VA 23505
Phone (757) 464-6944

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

1080 First Colonial Rd
Ste 400
Virginia Beach, VA 23454
Phone (757) 395-1880

Interoperability endpoints

  • Direct secure messaging: dehlert2815613@direct.bsmhealth.org
  • Direct secure messaging: dehlert750151@direct.sentara.net
  • Direct secure messaging: dianna.ehlert.1@28874.direct.athenahealth.com

Organizations & group practices 15

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 15

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778803200000",
    "number": "1336695923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2041 GOLFCREST DR",
            "city": "COMMERCE TWP",
            "state": "MI",
            "postal_code": "483821258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 MACK AVE STE 64100",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012466",
            "telephone_number": "313-832-0650"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1080 First Colonial Rd Ste 400",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234542406",
            "country_code": "US",
            "telephone_number": "757-395-8720",
            "fax_number": "757-395-8821",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "252 S 4th St Fl 2",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "PA",
            "postal_code": "170426111",
            "country_code": "US",
            "telephone_number": "717-270-3751",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1030 N Monroe St",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "MI",
            "postal_code": "481623113",
            "country_code": "US",
            "telephone_number": "248-396-9077",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "179 N Reading Rd",
            "address_purpose": "LOCATION",
            "city": "Ephrata",
            "state": "PA",
            "postal_code": "175221647",
            "country_code": "US",
            "telephone_number": "717-738-0167",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EHLERT",
        "first_name": "DIANNA",
        "middle_name": "GRACE",
        "name_prefix": "Mrs.",
        "credential": "MSN, RN, AGACNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-01",
        "last_updated": "2026-05-15",
        "certification_date": "2026-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024183682",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MI",
            "license": "4704301257",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NM",
            "license": "65285",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MI",
            "license": "4704301257",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "PA",
            "license": "SP034218",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "PA",
            "license": "ME6859346",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704301257",
            "primary": false
        },
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "NM",
            "license": "65285",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "MI",
            "license": "4704301257",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANNA",
            "last_name": "PEERCY",
            "prefix": "MISS",
            "credential": "MSN, RN, AGACNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.