Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Dianna Grace Ehlert, MSN, RN, AGACNP-BC

Individual provider Nurse Practitioner · NPI 1336695923

Mrs. Dianna Grace Ehlert, MSN, RN, AGACNP-BC is a Nurse Practitioner in Detroit, Michigan. Graduated from Wayne State University School of Medicine in 2016, 10 years ago. Practices with Grand Traverse Physician Services PC, a 123-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in Michigan, New Mexico, Pennsylvania and Virginia.

Years since qualifying
10
Trained at
Wayne State University School of Medicine
Licensed in
MI, NM, PA, VA
In the registry since
2016
Specialties on file
9
What do these letters mean?
MSN — Master of Science in Nursing
A graduate nursing degree, usually held alongside an advanced practice licence.
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

311 Mack Ave Ste 64100
Detroit, MI 48201-2466
Phone: (313) 832-0650
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 1030 N Monroe St, Monroe, MI 48162-3113 — (248) 396-9077
  • 179 N Reading Rd, Ephrata, PA 17522-1647 — (717) 738-0167
  • 252 S 4th St Fl 2, Lebanon, PA 17042-6111 — (717) 270-3751
  • 1080 First Colonial Rd Ste 400, Virginia Beach, VA 23454-2406 — (757) 395-8720

Specialties & licences

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

Record details

NPI number1336695923
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSN , RN , AGACNP-BC
Sole proprietorYes
NPI enumeratedSeptember 1, 2016
Last updated in NPPESMay 15, 2026
Certification dateMay 15, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2016 (10 years in practice)
Group practice Grand Traverse Physician Services Pc — 123 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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