JUHN MARK HAN – Emergency Medicine Physician, NPI 1205851714

JUHN MARK HAN is a healthcare provider. based in Traverse city, Michigan. specializing in EMERGENCY MEDICINE. They hold a License No. 41908 (MN). The NPI Number for JUHN MARK HAN is 1205851714

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
JUHN MARK HAN
NPI
1205851714
Phone
(231) 947-0673
Address
1105 6TH STREET
Enumeration Date
13 July 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2187863443
Graduation Year
1996 (30 years ago)
PAC ID
3779685052
Group Practice PAC ID
6901706357
Professional Enrollment ID
I20100116000427
Address ID
MN558051906DU402XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

3,157 EMERGENCY MEDICINE in MI

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Provider Addresses for JUHN MARK HAN

  • 6th Street, Fife Lake, Fife Lake Township, Grand Traverse County, Michigan, United States

    TRAVERSE CITY, MI 49684

    Phone: (231) 947-0673

    Mailing address matches the actual address.

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: 2010-01-16

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
I20100116000427IEmergency MedicineMNTBD

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
99285Emergency department visit with high level of medical decision making9189$0
99284Emergency department visit with moderate level of medical decision making5452$0
99291Critical care, first 30-74 minutes1818$0
99283Emergency department visit with low level of medical decision making1111$0
View full utilization report →

Insurance plans in this area (ZIP 49684)

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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: 6901706357View full group profile
NameSpecialtyState
Emergency MedicineND
Physician AssistantIA
Physician AssistantMN
Nurse PractitionerMN
Emergency Medicine, Medical ToxicologyND
Emergency MedicineMN
Cardiac Electrophysiology, Cardiovascular Disease (Cardiology)MN
-WI
Emergency MedicineMN
Physician AssistantSC

Reviews

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Frequently asked questions

Can I verify JUHN MARK HAN with an NPI only?
You can start verification with NPI 1205851714 for JUHN MARK HAN, then check state licensing separately.
Does CMS list JUHN MARK HAN as active?
Yes — JUHN MARK HAN is active in the NPI listing used on this page.
What is JUHN MARK HAN's primary classification?
Emergency Medicine Physician is the headline specialty for JUHN MARK HAN here. Clinical services aligned with this taxonomy classification.
Does JUHN MARK HAN list a practice location?
Patients near Traverse City, Michigan may find JUHN MARK HAN in results; validate coverage separately.
Why does JUHN MARK HAN have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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