WESLEY DEAN (PA-C) – Physician Assistant, NPI 1215527676

WESLEY DEAN (PA-C) is a healthcare provider. based in Mancelona, Michigan. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 5601010359 (MI). The NPI Number for WESLEY DEAN (PA-C) is 1215527676

Main info

Male
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
WESLEY DEAN (PA-C)
NPI
1215527676
Phone
(231) 587-9181
Address
419 W STATE ST
Enumeration Date
20 January 2021
Last Update Date
27 December 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2319358930
Graduation Year
2020 (6 years ago)
PAC ID
5597171389
Group Practice PAC ID
4183514706
Professional Enrollment ID
I20210302001900
Address ID
MI496847205TR4290XDRXX417
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

6,066 PHYSICIAN ASSISTANT in MI

Provider Addresses for WESLEY DEAN (PA-C)

  • 419 W STATE ST

    MANCELONA, MI 496599651

    Phone: (231) 587-9181

    Fax: (213) 587-0923

    Type: Mailing

  • 4318 PORTAGE CREEK ROAD SE

    GRAYLING, MI 49738

    Phone: (989) 390-5647

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 30 Open Payments records for all available years, with a total value of $657.

Total Amount is formed as General ($657) + Research ($0) + Ownership ($0) = $657.

Last reported payment date: 2024-07-15 • Largest payer in this snapshot: ABBVIE INC. ($222).

Total Amount

$657

General + Research + Ownership

Payments

30

Total payment records

General Amount

$657

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-15

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: 2021-03-02

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
I20210302001900IPhysician AssistantMITBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49659)

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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: 4183514706View full group profile
NameSpecialtyState
Family PracticeMI
Nurse PractitionerMI
Osteopathic Manipulative Medicine, Family PracticeMI
Family PracticeMI
Family PracticeMI
-MI
Physician AssistantMI
Family PracticeMI
Family PracticeMI
Nurse PractitionerMI

Reviews

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Frequently asked questions

How do payers reference WESLEY DEAN (PA-C)?
For WESLEY DEAN (PA-C), use NPI 1215527676 as the unique 10-digit identifier.
Would WESLEY DEAN (PA-C) appear as active to a payer?
You can treat WESLEY DEAN (PA-C) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with WESLEY DEAN (PA-C)?
WESLEY DEAN (PA-C)'s record emphasizes Physician Assistant. Clinical services aligned with this taxonomy classification.
What locale is associated with WESLEY DEAN (PA-C)?
Directory geography for WESLEY DEAN (PA-C) centers on Mancelona, Michigan.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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