DESAREE PHELPS (PA-C) – Physician Assistant, NPI 1518190040

DESAREE PHELPS (PA-C) is a healthcare provider. based in Caro, Michigan. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 5601005616 (MI). The NPI Number for DESAREE PHELPS (PA-C) is 1518190040

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
DESAREE PHELPS (PA-C)
NPI
1518190040
Phone
(989) 672-2100
Address
1525 W CARO RD
Enumeration Date
1 September 2009
Last Update Date
22 June 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9898600088
Graduation Year
2009 (17 years ago)
PAC ID
6305986571
Group Practice PAC ID
4486949807
Professional Enrollment ID
I20091218000369
Address ID
MI487239686CA1525XRDXX403
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:16State licenses:1Digital endpointsOther names

6,069 PHYSICIAN ASSISTANT in MI

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Provider Addresses for DESAREE PHELPS (PA-C)

  • 1525, West Caro Road, Watrousville, Caro, Juniata Township, Tuscola County, Michigan, 48723, United States

    CARO, MI 487239686

    Phone: (989) 672-2100

    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)

CMS reports 2 Open Payments records for all available years, with a total value of $136.

Total Amount is formed as General ($136) + Research ($0) + Ownership ($0) = $136.

Last reported payment date: 2023-08-09 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($92).

Total Amount

$136

General + Research + Ownership

Payments

2

Total payment records

General Amount

$136

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-09

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: 2009-12-18

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
I20091218000369IPhysician 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes759139$0
99239Hospital discharge day management, more than 30 minutes182122$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes159116$0
99234Initial hospital care with same-day admission and discharge with straightforward or low level of medical decision making, per day, if using time, at least 45 minutes1616$0
View full utilization report →

Insurance plans in this area (ZIP 48723)

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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: 4486949807View full group profile
NameSpecialtyState
Nurse PractitionerMI
-MI
Nurse PractitionerMI
Nurse PractitionerMI
Nurse PractitionerMI
Nurse PractitionerMI
Nurse PractitionerMI
-MI
Family PracticeMI
Nurse PractitionerMI

Reviews

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Frequently asked questions

Is DESAREE PHELPS (PA-C) listed with a National Provider Identifier?
Yes — DESAREE PHELPS (PA-C) has NPI 1518190040 on file in the registry.
Is DESAREE PHELPS (PA-C) shown as active in public data?
Registry records indicate DESAREE PHELPS (PA-C) maintains an active NPI.
What expertise is attributed to DESAREE PHELPS (PA-C)?
DESAREE PHELPS (PA-C)'s specialty line reads Physician Assistant. Clinical services aligned with this taxonomy classification.
What locale is associated with DESAREE PHELPS (PA-C)?
Directory geography for DESAREE PHELPS (PA-C) centers on Caro, Michigan.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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