PAUL DIELEMAN (PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1003263450

PAUL DIELEMAN (PMHNP-BC) is a healthcare provider. based in Grand rapids, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP-BC. They hold a License No. 4704247208 (MI). The NPI Number for PAUL DIELEMAN (PMHNP-BC) is 1003263450

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
PAUL DIELEMAN (PMHNP-BC)
NPI
1003263450
Phone
(616) 259-7900
Address
1131 IONIA AVE NW
Enumeration Date
16 May 2016
Last Update Date
19 November 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6166855000
Graduation Year
2018 (8 years ago)
PAC ID
0446504922
Group Practice PAC ID
4082807961
Professional Enrollment ID
I20181120001056
Address ID
MI495034502GR200XXSEXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:10State licenses:1Digital endpointsOther names

8,106 NURSE PRACTITIONER in MI

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Provider Addresses for PAUL DIELEMAN (PMHNP-BC)

  • 1131, Ionia Avenue Northwest, Grand Rapids, Kent County, Michigan, 49503, United States

    GRAND RAPIDS, MI 495031020

    Phone: (616) 259-7900

    Fax: (616) 259-7909

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-11-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20181120001056INurse PractitionerMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes12629$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes11926$0
99215Established patient office or other outpatient visit, 40-54 minutes4724$0
99214Established patient office or other outpatient visit, 30-39 minutes1815$0
99239Hospital discharge day management, more than 30 minutes1311$0
View full utilization report →

Insurance plans in this area (ZIP 49503)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4082807961View full group profile

Reviews

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Frequently asked questions

How do payers reference PAUL DIELEMAN (PMHNP-BC)?
For PAUL DIELEMAN (PMHNP-BC), use NPI 1003263450 as the unique 10-digit identifier.
Active or inactive — what applies to PAUL DIELEMAN (PMHNP-BC)?
You should see PAUL DIELEMAN (PMHNP-BC) as active in CMS-hosted NPPES data.
What area of care is associated with PAUL DIELEMAN (PMHNP-BC)?
PAUL DIELEMAN (PMHNP-BC)'s record emphasizes Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is PAUL DIELEMAN (PMHNP-BC) associated with Grand Rapids?
Public fields place PAUL DIELEMAN (PMHNP-BC) around Grand Rapids, Michigan. Always confirm the exact site before visiting.
Can I trust this NPI listing for PAUL DIELEMAN (PMHNP-BC)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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