DIANE PEARL NP
NPI 1417495524
Nurse Practitioner - Family in Grand Rapids, MI

Active since February 09, 2017PECOS EnrolledAccepts Medicare Assignment
4069 LAKE DR SE, GRAND RAPIDS, MI 49546(616) 267-7469 Get Directions Write a Review

NPPES record last updated: May 26, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 26, 2026, Dec 7, 2021, Feb 9, 2017 (3 updates tracked since 2017).

About Diane Pearl Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DIANE PEARL NP (NPI 1417495524) is an individual family provider in Grand Rapids, Michigan, licensed in Michigan (4704208352) and active in the NPI registry since February 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1417495524
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDIANE PEARLCredential: NP
Location Address4069 LAKE DR SEGrand Rapids, MI 49546-8816
Mailing Address100 Michigan St Ne, Mc 845Grand Rapids, MI 49503-2560
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateFebruary 9, 2017
Last NPPES UpdateMay 26, 20263 updates tracked since enumeration
NPPES CertifiedMay 26, 2026
NPI 1417495524 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MI · 4704208352
4069 LAKE DR SE, Grand Rapids, MI 49546

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Diane Pearl Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1658655923
PECOS Enrollment IDI20210723000877
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
32 services32 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
24 services24 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
24 services24 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
24 services23 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
12 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49546 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Urology
4069 LAKE DR SE, S-313
GRAND RAPIDS, MI 49546
Internal Medicine
4069 LAKE DR SE, SUITE 117
GRAND RAPIDS, MI 49546
Optometrist
4069 LAKE DR SE, S-315
GRAND RAPIDS, MI 49546
Physical Therapist
4069 LAKE DR SE, STE 114
GRAND RAPIDS, MI 49546
Physical Therapist
4069 LAKE DR SE, STE 114
GRAND RAPIDS, MI 49546
Physician Assistant
4069 LAKE DR SE, SUITE 312
GRAND RAPIDS, MI 49546
Physical Therapist
4069 LAKE DR SE, STE 114
GRAND RAPIDS, MI 49546
Surgery
4069 LAKE DR SE, SUITE 117
GRAND RAPIDS, MI 49546

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Diane Pearl's NPI number?

The NPI number for Diane Pearl is 1417495524. It was assigned to this individual provider in the NPPES registry on February 9, 2017.

Where is Diane Pearl located?

Diane Pearl practices at 4069 Lake Dr SE, Grand Rapids, MI 49546. The listed phone number is (616) 267-7469.

What is Diane Pearl's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Diane Pearl enrolled in Medicare?

Yes. Diane Pearl is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Diane Pearl accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Diane Pearl as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Diane Pearl was last updated on May 26, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.