REBECCA RAE MAHN (PA-C) – Physician Assistant, NPI 1558836650

REBECCA RAE MAHN (PA-C) is a healthcare provider. based in Fruitport, Michigan. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 5601008867 (MI). The NPI Number for REBECCA RAE MAHN (PA-C) is 1558836650

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
REBECCA RAE MAHN (PA-C)
NPI
1558836650
Phone
(231) 742-1983
Address
6250 HEIGHTS RAVENNA RD
Enumeration Date
4 October 2018
Last Update Date
4 October 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2317284601
Graduation Year
2018 (8 years ago)
PAC ID
5698019354
Group Practice PAC ID
3375938889
Professional Enrollment ID
I20181206001369
Address ID
MI494441849MU1500XBLVD404
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

6,069 PHYSICIAN ASSISTANT in MI

Loading map...

Provider Addresses for REBECCA RAE MAHN (PA-C)

  • Heights Ravenna Road, Cloverville, Fruitport Charter Township, Muskegon County, Michigan, 49451, United States

    FRUITPORT, MI 494158697

    Phone: (231) 742-1983

    Type: Mailing

  • Mercy Health Hackley Campus, 1700, Clinton Street, Muskegon, Muskegon County, Michigan, 49444, United States

    MUSKEGON, MI 494425502

    Phone: (231) 728-4601

    Fax: (231) 728-5777

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2018-12-06

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
I20181206001369IPhysician 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
99284Emergency department visit with moderate level of medical decision making5452$0
99285Emergency department visit with high level of medical decision making4646$0
99283Emergency department visit with low level of medical decision making2420$0
View full utilization report →

Insurance plans in this area (ZIP 49415)

Loading plans...

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: 3375938889View full group profile
NameSpecialtyState
Physician AssistantMI
Nurse PractitionerMI
Emergency MedicineMI
Emergency MedicineMI
Physician AssistantMI
Emergency MedicineWI
Emergency MedicineCA
Physician AssistantMI
Emergency MedicineMI
Physician AssistantMI

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is the registry number for REBECCA RAE MAHN (PA-C)?
The registry entry for REBECCA RAE MAHN (PA-C) shows NPI 1558836650.
Should I treat REBECCA RAE MAHN (PA-C) as an active provider?
Patients and plans typically see REBECCA RAE MAHN (PA-C) as active in the national extract.
Which specialty label fits REBECCA RAE MAHN (PA-C)?
NPPES ties REBECCA RAE MAHN (PA-C) to Physician Assistant in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to REBECCA RAE MAHN (PA-C)?
REBECCA RAE MAHN (PA-C) shows a connection to Fruitport, Michigan in registry-derived data.
Why is information missing for REBECCA RAE MAHN (PA-C)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

Similar Providers

Mercy General Physician Network

Family Medicine Physician
1310 Wisconsin St Ste 301
NPI: 1023056744
9249 W Lake City Rd
NPI: 1760581383

Fruitport Family Medicine

Family Medicine Physician
PO BOX 1848
NPI: 1639502701

ERICA F SABO (P.A.-C.)

Physician Assistant
PO BOX 1848
NPI: 1659802015

KATIE MARIE ZERKLE

Physician Assistant
4038 HEIGHTS RAVENNA RD
NPI: 1891456679