MRS. DESIRAE NICOLE MACIAS (P.A) – Physician Assistant, NPI 1851763676

MRS. DESIRAE NICOLE MACIAS (P.A) is a healthcare provider. based in Huntington beach, California. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A. They hold a License No. 285 (FL). The NPI Number for MRS. DESIRAE NICOLE MACIAS (P.A) is 1851763676

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
MRS. DESIRAE NICOLE MACIAS (P.A)
NPI
1851763676
Phone
(714) 848-4067
Address
18800 MAIN ST
Enumeration Date
21 October 2015
Last Update Date
15 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7143160611
Graduation Year
2015 (11 years ago)
PAC ID
6002112836
Group Practice PAC ID
4981009974
Professional Enrollment ID
I20211229002089
Address ID
CA926494473HU4911XAVEX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience70
Completeness85
Years active:10State licenses:8Digital endpointsOther names

10,570 PHYSICIAN ASSISTANT in CA

Provider Addresses for MRS. DESIRAE NICOLE MACIAS (P.A)

  • 18800 MAIN ST

    SUITE 108

    HUNTINGTON BEACH, CA 926481707

    Phone: (714) 848-4067

    Type: Mailing

  • 19582 BEACH BLVD STE 217

    HUNTINGTON BEACH, CA 926485923

    Phone: (949) 650-1244

    Type: Mailing

  • 4911 WARNER AVE SUITE 205

    HUNTINGTON BEACH, CA 92649

    Phone: (714) 316-0611

    Fax: (714) 520-0087

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 36 Open Payments records for all available years, with a total value of $829.

Total Amount is formed as General ($829) + Research ($0) + Ownership ($0) = $829.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: GENZYME CORPORATION ($127).

Total Amount

$829

General + Research + Ownership

Payments

36

Total payment records

General Amount

$829

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2026-03-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 6 Medicare enrollment records; no due dates published yet.

Enrollment records

6

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
I20211229002089IPhysician AssistantCATBD
I20250102003431IPhysician AssistantCOTBD
I20250124001722IPhysician AssistantFLTBD
I20250305003908IPhysician AssistantAZTBD
I20250926002304IPhysician AssistantNVTBD
I20260304004315IPhysician AssistantNMTBD

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
17003Destruction of precancer skin growth, 2-14 growths15339$0
99213Established patient office or other outpatient visit, 20-29 minutes7776$0
17000Destruction of precancer skin growth, 1 growth5957$0
17110Destruction of skin growth, 1-14 growths4948$0
99212Established patient office or other outpatient visit, 10-19 minutes4338$0
View full utilization report →

Insurance plans in this area (ZIP 92648)

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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: 4981009974View full group profile
NameSpecialtyState
Family Practice, General PracticeCA
Physician AssistantCA

Reviews

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Frequently asked questions

Can I verify MRS. DESIRAE NICOLE MACIAS (P.A) with an NPI only?
You can start verification with NPI 1851763676 for MRS. DESIRAE NICOLE MACIAS (P.A), then check state licensing separately.
Is MRS. DESIRAE NICOLE MACIAS (P.A) still practicing?
MRS. DESIRAE NICOLE MACIAS (P.A) is currently listed as active in the public NPI registry.
What is MRS. DESIRAE NICOLE MACIAS (P.A) best known for clinically?
Directory data describes MRS. DESIRAE NICOLE MACIAS (P.A) with Physician Assistant. Clinical services aligned with this taxonomy classification.
Does MRS. DESIRAE NICOLE MACIAS (P.A) list a practice location?
Patients near Huntington Beach, California may find MRS. DESIRAE NICOLE MACIAS (P.A) in results; validate coverage separately.
Is the information about MRS. DESIRAE NICOLE MACIAS (P.A) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."