EBAN JAMES II MACKEY – Psychiatric/Mental Health Nurse Practitioner, NPI 1558028027

EBAN JAMES II MACKEY is a healthcare provider. based in Marshall, Michigan. specializing in NURSE PRACTITIONER. They hold a License No. 4704280061 (MI). The NPI Number for EBAN JAMES II MACKEY is 1558028027

Main info

Male
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
EBAN JAMES II MACKEY
NPI
1558028027
Phone
(269) 274-2963
Address
544 EAST DR
Enumeration Date
19 November 2021
Last Update Date
22 March 2022

Doctor Profile

Medical School Name
UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Secondary Phone
5178823732
Graduation Year
2021 (5 years ago)
PAC ID
4183010580
Group Practice PAC ID
7911995139
Professional Enrollment ID
I20220412002466
Address ID
MI488231900EA1400XRDXX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

8,106 NURSE PRACTITIONER in MI

Provider Addresses for EBAN JAMES II MACKEY

  • 544 EAST DR

    MARSHALL, MI 490681363

    Phone: (269) 274-2963

    Type: Mailing

  • 3475 BELLE CHASE WAY

    LANSING, MI 489114252

    Phone: (517) 882-3732

    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: 2022-04-12

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220412002466INurse 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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes14728$0
90833Psychotherapy with evaluation and management visit, 30 minutes10427$0
View full utilization report →

Insurance plans in this area (ZIP 49068)

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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: 7911995139View full group profile

Reviews

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Frequently asked questions

Can I verify EBAN JAMES II MACKEY with an NPI only?
You can start verification with NPI 1558028027 for EBAN JAMES II MACKEY, then check state licensing separately.
Does CMS list EBAN JAMES II MACKEY as active?
Yes — EBAN JAMES II MACKEY is active in the NPI listing used on this page.
What healthcare role does EBAN JAMES II MACKEY hold?
Scheduling teams often label EBAN JAMES II MACKEY under Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What address line appears for EBAN JAMES II MACKEY?
EBAN JAMES II MACKEY's geographic hint is Marshall, Michigan in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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