MS. RACHELLE NICOLE PACKEY (PA-C) – Physician Assistant, NPI 1740683077

MS. RACHELLE NICOLE PACKEY (PA-C) is a healthcare provider. based in Royal oak, Michigan. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 5601007138 (MI). The NPI Number for MS. RACHELLE NICOLE PACKEY (PA-C) is 1740683077

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
MS. RACHELLE NICOLE PACKEY (PA-C)
NPI
1740683077
Phone
(248) 551-0900
Address
3535 W 13 MILE RD
Enumeration Date
1 October 2014
Last Update Date
20 December 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2485579650
Graduation Year
2014 (12 years ago)
PAC ID
4486976040
Group Practice PAC ID
0840657953
Professional Enrollment ID
I20141210000173
Address ID
MI483343901FA29995RDXX501
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:11State licenses:1Digital endpointsOther names

6,069 PHYSICIAN ASSISTANT in MI

Provider Addresses for MS. RACHELLE NICOLE PACKEY (PA-C)

  • 3535 W 13 MILE RD

    SUITE 202

    ROYAL OAK, MI 48073

    Phone: (248) 551-0900

    Fax: (248) 551-0905

    Type: Mailing

  • 26850 PROVIDENCE PKWY STE 350

    NOVI, MI 483741261

    Phone: (248) 662-4119

    Fax: (248) 662-4120

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 26 Open Payments records for all available years, with a total value of $567.

Total Amount is formed as General ($567) + Research ($0) + Ownership ($0) = $567.

Last reported payment date: 2024-11-07 • Largest payer in this snapshot: ABBVIE INC. ($203).

Total Amount

$567

General + Research + Ownership

Payments

26

Total payment records

General Amount

$567

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-07

Latest reported date

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: 2014-12-10

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
I20141210000173IPhysician 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48073)

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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: 0840657953View full group profile
NameSpecialtyState
Gastroenterology, Internal MedicineMI
Physician AssistantOH
P A T H O L O G YIL
Colorectal Surgery (Proctology)OH
P A T H O L O G YMI
Gastroenterology, Internal MedicineMI
General Surgery, Colorectal Surgery (Proctology)MI
Gastroenterology, Internal MedicineMI
P A T H O L O G YMI
P A T H O L O G YMI

Reviews

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Frequently asked questions

What federal number belongs to MS. RACHELLE NICOLE PACKEY (PA-C)?
The federal identifier for MS. RACHELLE NICOLE PACKEY (PA-C) is NPI 1740683077.
Is MS. RACHELLE NICOLE PACKEY (PA-C) currently active in the NPI registry?
CMS-published data lists MS. RACHELLE NICOLE PACKEY (PA-C) as an active registrant.
What kind of provider is MS. RACHELLE NICOLE PACKEY (PA-C)?
The page reflects Physician Assistant for MS. RACHELLE NICOLE PACKEY (PA-C). Clinical services aligned with this taxonomy classification.
Does MS. RACHELLE NICOLE PACKEY (PA-C) practice in Michigan?
You will see Royal Oak, Michigan on file for MS. RACHELLE NICOLE PACKEY (PA-C) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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