TESSA MARIE MAC – Physician Assistant, NPI 1720536360

TESSA MARIE MAC is a healthcare provider. based in Ann arbor, Michigan. specializing in PHYSICIAN ASSISTANT. They hold a License No. 5601007962 (MI). The NPI Number for TESSA MARIE MAC is 1720536360

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
TESSA MARIE MAC
NPI
1720536360
Phone
(734) 647-5299
Address
3621 S STATE ST
Enumeration Date
12 September 2016
Last Update Date
13 February 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7345395000
Graduation Year
2016 (10 years ago)
PAC ID
8527347905
Group Practice PAC ID
3779496856
Professional Enrollment ID
I20161108002012
Address ID
MI481083347AN1801XCIRX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:9State licenses:1Digital endpointsOther names

6,069 PHYSICIAN ASSISTANT in MI

Provider Addresses for TESSA MARIE MAC

  • 3621 S STATE ST

    ANN ARBOR, MI 481081633

    Phone: (734) 647-5299

    Type: Mailing

  • 1500 E MEDICAL CENTER DR

    ANN ARBOR, MI 481095000

    Phone: (734) 936-4000

    Type: Location

  • 451 Hidden Meadows Dr Ste 260

    Hillsdale, MI 492429812

    Phone: (517) 437-5350

    Fax: (517) 437-8328

    Type: Location

  • 536, North Marshall Avenue, Marshall, Marshall Township, Calhoun County, Michigan, 49068, United States

    MARSHALL, MI 490681272

    Phone: (313) 670-8691

    Type: Mailing

  • Hidden Meadows Drive, Hillsdale, Hillsdale County, Michigan, 49242, United States

    HILLSDALE, MI 492429812

    Phone: (517) 437-5350

    Fax: (517) 437-8328

    Type: Location

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 $18.

Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.

Last reported payment date: 2023-03-07 • Largest payer in this snapshot: ABBVIE INC. ($18).

Total Amount

$18

General + Research + Ownership

Payments

1

Total payment records

General Amount

$18

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-07

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$18
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: 2016-11-08

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
I20161108002012IPhysician 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
99213Established patient office or other outpatient visit, 20-29 minutes3328$0
46600Diagnostic exam of anus using an endoscope2323$0
99203New patient office or other outpatient visit, 30-44 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 48108)

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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: 3779496856View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YFL
Physical Medicine And RehabilitationMI
A N E S T H E S I O L O G YMI
Internal Medicine, Pediatric MedicineIL
-MI
Physician AssistantMI

Reviews

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Frequently asked questions

What is TESSA MARIE MAC's NPI number?
TESSA MARIE MAC's NPI is 1720536360 — the number used across U.S. healthcare to identify this provider.
Is there an active status for TESSA MARIE MAC?
For scheduling context, TESSA MARIE MAC is shown as active in the registry.
What clinical focus is listed for TESSA MARIE MAC?
At a glance, TESSA MARIE MAC is tied to Physician Assistant. Clinical services aligned with this taxonomy classification.
What practice footprint exists for TESSA MARIE MAC?
Travel planning: use Ann Arbor, Michigan as the reference point for TESSA MARIE MAC, then confirm.
Does TESSA MARIE MAC accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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