PAULA B SLACK (N.P.) – Nurse Practitioner, NPI 1174858914
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,106 NURSE PRACTITIONER in MI
Provider Addresses for PAULA B SLACK (N.P.)
3621 S STATE ST
ANN ARBOR, MI 481081633
Phone: (734) 647-5299
Type: Mailing
4260 PLYMOUTH RD
ANN ARBOR, MI 481092700
Phone: (734) 764-6831
Type: Location
1246 Ashland Ave
Suite 202
Zanesville, OH 437012861
Phone: (740) 455-4925
Fax: (740) 450-6250
Type: Location
McLaren Greater Lansing, 401, West Greenlawn Avenue, Greencroft Park, Lansing, Ingham County, Michigan, 48910, United States
LANSING, MI 489102819
Phone: (517) 975-8957
Fax: (517) 975-7210
Type: Mailing
1246, Ashland Avenue, McIntire Terrace Historic District, Zanesville, Muskingum County, Ohio, 43701, United States
SUITE 202
ZANESVILLE, OH 437012861
Phone: (740) 455-4925
Fax: (740) 450-6250
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2017-06-12
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170612003029 | I | Nurse Practitioner | MI | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 383 | 273 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 115 | 99 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 70 | 70 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 59 | 56 | $0 |
| G0444 | Annual depression screening, 5 to 15 minutes | 45 | 45 | $0 |
Insurance plans in this area (ZIP 48108)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| G A S T R O E N T E R O L O G Y | FL | |
| Physical Medicine And Rehabilitation | MI | |
| A N E S T H E S I O L O G Y | MI | |
| Internal Medicine, Pediatric Medicine | IL | |
| - | MI | |
| Physician Assistant | MI |
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