DR. TESSA KATHLEEN DAKE (MD) – Family Medicine Physician, NPI 1629208475

DR. TESSA KATHLEEN DAKE (MD) is a healthcare provider. based in Freeland, Michigan. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 4301100157 (MI). The NPI Number for DR. TESSA KATHLEEN DAKE (MD) is 1629208475

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
DR. TESSA KATHLEEN DAKE (MD)
NPI
1629208475
Phone
(989) 695-2123
Address
5694 MIDLAND RD
Enumeration Date
14 July 2009
Last Update Date
3 March 2022

Doctor Profile

Medical School Name
UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE
Secondary Phone
9897903697
Graduation Year
2012 (14 years ago)
PAC ID
1456500958
Group Practice PAC ID
2769387778
Professional Enrollment ID
I20120926000747
Address ID
MI486049596SA2429XDRXX300
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

4,418 FAMILY PRACTICE in MI

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Provider Addresses for DR. TESSA KATHLEEN DAKE (MD)

  • 5694, Midland Road, Freeland, Tittabawassee Township, Saginaw County, Michigan, 48623, United States

    FREELAND, MI 486238845

    Phone: (989) 695-2123

    Fax: (989) 695-2316

    Type: Mailing

  • 1447 N HARRISON ST

    SAGINAW, MI 486024727

    Phone: (989) 790-3697

    Fax: (989) 583-1742

    Type: Mailing

  • 2429 TRAUTNER DR

    SAGINAW, MI 486049596

    Phone: (989) 790-3697

    Fax: (989) 583-1742

    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: 2012-09-26

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
I20120926000747IFamily PracticeMITBD

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 minutes9359$0
99213Established patient office or other outpatient visit, 20-29 minutes3326$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit3232$0
83036Hemoglobin a1c level2925$0
G0008Administration of influenza virus vaccine2523$0
View full utilization report →

Insurance plans in this area (ZIP 48623)

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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: 2769387778View full group profile
NameSpecialtyState
Neurology, Internal MedicineMI
-MI
-MI
Pulmonary Disease, Critical Care (Intensivists)MI
Nurse PractitionerMI
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
Family PracticeMI
Internal MedicineMI
Internal MedicineOH

Reviews

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Frequently asked questions

What NPI should I save for DR. TESSA KATHLEEN DAKE (MD)?
Save NPI 1629208475 if you need a stable reference for DR. TESSA KATHLEEN DAKE (MD).
Is DR. TESSA KATHLEEN DAKE (MD) currently active in the NPI registry?
CMS-published data lists DR. TESSA KATHLEEN DAKE (MD) as an active registrant.
Can you summarize DR. TESSA KATHLEEN DAKE (MD)'s specialty in plain language?
Clinically, the directory lists DR. TESSA KATHLEEN DAKE (MD) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is DR. TESSA KATHLEEN DAKE (MD)'s primary listing?
We display Freeland, Michigan because that is what the record indicates for DR. TESSA KATHLEEN DAKE (MD).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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