MARYLEE PAKIESER (FNP) – Family Nurse Practitioner, NPI 1265517494

MARYLEE PAKIESER (FNP) is a healthcare provider. based in Traverse city, Michigan. specializing in Family Nurse Practitioner. They hold the professional credentials FNP. They hold a License No. 4704106641 (MI). The NPI Number for MARYLEE PAKIESER (FNP) is 1265517494

Main info

Female
31 Years Of Experience
Accepts Medicare Assignment
Name
MARYLEE PAKIESER (FNP)
NPI
1265517494
Phone
(231) 935-0799
Address
1719 S Garfield Ave
Enumeration Date
26 October 2006
Last Update Date
19 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2314216921
Graduation Year
1995 (31 years ago)
PAC ID
7911995972
Group Practice PAC ID
7214150770
Professional Enrollment ID
I20110113001084

Contacts

Secure Messaging
ccm@chronic-care.net
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness95
Years active:19State licenses:1Other names

Provider Addresses for MARYLEE PAKIESER (FNP)

  • 1719 S Garfield Ave

    Traverse City, MI 496864337

    Phone: (231) 935-0799

    Fax: (231) 935-0962

    Type: Location

  • 4020 COPPER VW STE 104

    TRAVERSE CITY, MI 496847041

    Phone: (231) 421-6921

    Type: Location

  • 3785, Bay Road, Consumers Energy, Saginaw, Saginaw Charter Township, Saginaw County, Michigan, 48603, United States

    SAGINAW, MI 486032433

    Phone: (989) 791-2455

    Type: Mailing

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 $71.

Total Amount is formed as General ($71) + Research ($0) + Ownership ($0) = $71.

Last reported payment date: 2023-04-24 • Largest payer in this snapshot: Inspire Medical Systems, Inc. ($71).

Total Amount

$71

General + Research + Ownership

Payments

1

Total payment records

General Amount

$71

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-04-24

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: 2011-01-13

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
I20110113001084INurse PractitionerMITBD

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 49686)

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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: 7214150770View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to MARYLEE PAKIESER (FNP)?
NPI 1265517494 is assigned to MARYLEE PAKIESER (FNP) under the national enumeration system.
Is MARYLEE PAKIESER (FNP) active in the national directory?
MARYLEE PAKIESER (FNP)'s public NPI profile is in an active state.
What field does MARYLEE PAKIESER (FNP) work in?
You can think of MARYLEE PAKIESER (FNP) as practicing within Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where does public data place MARYLEE PAKIESER (FNP)?
The snapshot lists Traverse City, Michigan for MARYLEE PAKIESER (FNP); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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