Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Diane Elizabeth Tyler

Individual provider Nurse Practitioner · NPI 1760150213

Diane Elizabeth Tyler is a Nurse Practitioner in Grand Rapids, Minnesota. Qualified in 2021, 5 years ago. Practices with Lakeview Behavioral Health Inc, a 24-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
5
Licensed in
MN
In the registry since
2021
Specialties on file
2

Practice location Address checks out

516 S Pokegama Ave
Grand Rapids, MN 55744-3820
Phone: (218) 327-2001
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 8264 (MN)
Nurse Practitioner Taxonomy 363L00000X · Licence 8264 (MN)

Record details

NPI number1760150213
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 31, 2021
Last updated in NPPESAugust 31, 2021
Certification dateAugust 31, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Lakeview Behavioral Health Inc — 24 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Grand Rapids