MARCELLE MAHAN (M.D.) – General Practice Physician, NPI 1245292085

MARCELLE MAHAN (M.D.) is a healthcare provider. based in Mckinleyville, California. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. G71860 (CA). The NPI Number for MARCELLE MAHAN (M.D.) is 1245292085

Main info

Female
Sole Proprietor
36 Years Of Experience
Accepts Medicare Assignment
Name
MARCELLE MAHAN (M.D.)
NPI
1245292085
Phone
(707) 499-8781
Address
PO BOX 2717
Enumeration Date
5 April 2006
Last Update Date
29 March 2021

Doctor Profile

Medical School Name
LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7074439371
Graduation Year
1990 (36 years ago)
PAC ID
6608824453
Group Practice PAC ID
8921993205
Professional Enrollment ID
I20050107000577
Address ID
CA955013200EU2280XAVEX303
Telehealth
Yes

Contacts

Secure Messaging
marcellemahan@sjhhandhmg.allscriptsdirect.net
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness85
Years active:20State licenses:2Other namesUpdated within 12 months

13,194 FAMILY PRACTICE in CA

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Provider Addresses for MARCELLE MAHAN (M.D.)

  • McKinleyville Post Office, 1561, City Center Road, McKinleyville Shopping Center, McKinleyville, Humboldt County, California, 95519, United States

    MCKINLEYVILLE, CA 955192717

    Phone: (707) 499-8781

    Type: Mailing

  • Saint Josephs Hospital, 2700, Dolbeer Street, Eureka, Humboldt County, California, 95501, United States

    EUREKA, CA 955014736

    Phone: (707) 269-4250

    Type: Location

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 $79.

Total Amount is formed as General ($79) + Research ($0) + Ownership ($0) = $79.

Last reported payment date: 2024-06-04 • Largest payer in this snapshot: Novo Nordisk Inc ($79).

Total Amount

$79

General + Research + Ownership

Payments

1

Total payment records

General Amount

$79

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-04

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Novo Nordisk Inc$79
View all Open Payments →|Open Payments Risk Radar →

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: 2005-01-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050107000577IFamily PracticeCATBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes758346$0
99442Telephone medical discussion with physician, 11-20 minutes253158$0
99443Telephone medical discussion with physician, 21-30 minutes201130$0
99213Established patient office or other outpatient visit, 20-29 minutes188150$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit174174$0
View full utilization report →

Insurance plans in this area (ZIP 95519)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8921993205View full group profile

Reviews

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Frequently asked questions

Does MARCELLE MAHAN (M.D.) have a public NPI I can cite?
Public records show MARCELLE MAHAN (M.D.) under NPI 1245292085.
Quick check: is MARCELLE MAHAN (M.D.) active?
Public NPPES data shows MARCELLE MAHAN (M.D.) with an active NPI status right now.
What type of care does MARCELLE MAHAN (M.D.) provide?
MARCELLE MAHAN (M.D.)'s profile centers on General Practice Physician. Clinical services aligned with this taxonomy classification.
Is MARCELLE MAHAN (M.D.) tied to Mckinleyville, California?
If you are local to Mckinleyville, California, MARCELLE MAHAN (M.D.) may be relevant to your search.
Why is information missing for MARCELLE MAHAN (M.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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