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

Paul Dieleman, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1003263450

Paul Dieleman, PMHNP-BC is a Nurse Practitioner in Grand Rapids, Michigan. Qualified in 2018, 8 years ago. Practices with Advantage Health/Saint Mary's Medical Group, a 494-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
8
Licensed in
MI
In the registry since
2016
Specialties on file
2
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1131 Ionia Ave NW
Grand Rapids, MI 49503-1020
Phone: (616) 259-7900
Fax: (616) 259-7909
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 4704247208 (MI)
Registered Nurse Taxonomy 163W00000X · Licence 4704247208 (MI)

Record details

NPI number1003263450
Entity typeIndividual (Type 1)
GenderMale
Credentials PMHNP-BC
Sole proprietorNo
NPI enumeratedMay 16, 2016
Last updated in NPPESNovember 19, 2018

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Advantage Health/Saint Mary'S Medical Group — 494 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Grand Rapids