DARA L HEADRICK (DO) – Physical Medicine & Rehabilitation Physician, NPI 1912963711

DARA L HEADRICK (DO) is a healthcare provider. based in Grand blanc, Michigan. specializing in PHYSICAL MEDICINE AND REHABILITATION. They hold the professional credentials DO. They hold a License No. 5101011645 (MI). The NPI Number for DARA L HEADRICK (DO) is 1912963711

Main info

Female
34 Years Of Experience
Accepts Medicare Assignment
Name
DARA L HEADRICK (DO)
NPI
1912963711
Phone
(810) 606-7181
Address
4632 GENESYS PKWY
Enumeration Date
21 April 2006
Last Update Date
6 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1992 (34 years ago)
PAC ID
0446242465
Group Practice PAC ID
4082868815
Professional Enrollment ID
I20200519002825
Address ID
IL600268001GL2600XRDXX300

Contacts

Secure Messaging
dheadrick1252665@wm.providencedirect.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness85
Years active:20State licenses:2Other namesUpdated within 12 months

320 PHYSICAL MEDICINE AND REHABILITATION in WA

Provider Addresses for DARA L HEADRICK (DO)

  • 4632 GENESYS PKWY

    GRAND BLANC, MI 484398067

    Phone: (810) 606-7181

    Fax: (810) 606-7174

    Type: Mailing

  • 1717 13TH ST STE 401

    EVERETT, WA 982011621

    Phone: (425) 261-4910

    Fax: (425) 261-4957

    Type: Location

  • 916 Pacific Ave Fl 2

    Everett, WA 982014147

    Phone: (425) 261-4910

    Fax: (425) 261-4957

    Type: Location

  • PO BOX 3360

    PORTLAND, OR 972083360

    Phone:

    Type: Mailing

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: 2020-05-19

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
I20200519002825IPhysical Medicine And RehabilitationWATBD

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
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes22964$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes16556$0
99215Established patient office or other outpatient visit, 40-54 minutes5525$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes5049$0
99239Hospital discharge day management, more than 30 minutes4039$0
View full utilization report →

Insurance plans in this area (ZIP 48439)

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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: 4082868815View full group profile
NameSpecialtyState
Endocrinology, Internal MedicineWA
Hematology/Oncology, Internal MedicineWA
Internal MedicineWA
Internal MedicineWA
Physician AssistantWA
Physician AssistantCA
Internal MedicineWA
Internal MedicineWA
Geriatric Medicine, Hospice/Palliative Care, Internal MedicineWA
Physician AssistantWA

Reviews

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Frequently asked questions

What is the 10-digit NPI for DARA L HEADRICK (DO)?
DARA L HEADRICK (DO) — NPI 1912963711 — is the standard way to identify this listing.
Is DARA L HEADRICK (DO) still practicing?
DARA L HEADRICK (DO) is currently listed as active in the public NPI registry.
What is DARA L HEADRICK (DO)'s primary classification?
Physical Medicine & Rehabilitation Physician is the headline specialty for DARA L HEADRICK (DO) here. Clinical services aligned with this taxonomy classification.
Where should I expect DARA L HEADRICK (DO) on a map?
Expect Grand Blanc, Michigan as a primary anchor for DARA L HEADRICK (DO) unless the record lists multiple sites.
Is the information about DARA L HEADRICK (DO) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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