MRS. DIANNA GRACE EHLERT (MSN, RN, AGACNP-BC) – Adult Health Nurse Practitioner, NPI 1336695923
Adult Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,105 NURSE PRACTITIONER in MI
Provider Addresses for MRS. DIANNA GRACE EHLERT (MSN, RN, AGACNP-BC)
311 MACK AVE STE 64100
DETROIT, MI 482012466
Phone: (313) 832-0650
Type: Location
1030 N Monroe St
Monroe, MI 481623113
Phone: (248) 396-9077
Type: Location
1080 First Colonial Rd Ste 400
Virginia Beach, VA 234542406
Phone: (757) 395-8720
Fax: (757) 395-8821
Type: Location
Mack Avenue, Detroit, Wayne County, Michigan, 48214, United States
VASCULAR SURGERY
DETROIT, MI 482012466
Phone: (734) 682-3309
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $20.
Total Amount is formed as General ($20) + Research ($0) + Ownership ($0) = $20.
Last reported payment date: 2024-10-09 • Largest payer in this snapshot: Medtronic, Inc. ($20).
Total Amount
$20
General + Research + Ownership
Payments
1
Total payment records
General Amount
$20
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $20 |
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: 2022-08-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170328001973 | I | Nurse Practitioner | MI | TBD |
| I20220120002433 | I | Nurse Practitioner | NM | TBD |
| I20220803003554 | I | Nurse Practitioner | VA | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 48201)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Radiation Oncology | TX | |
| - | VA | |
| Pulmonary Disease, Critical Care (Intensivists) | WV | |
| Cardiovascular Disease (Cardiology), Thoracic Surgery | MI | |
| Hospitalist, Internal Medicine | VA | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | VA | |
| - | VA | |
| - | VA | |
| - | VA | |
| - | VA |
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