MARYJANE EASLEY (PA-C) – Physician Assistant, NPI 1073829982

MARYJANE EASLEY (PA-C) is a healthcare provider. based in Addison, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. The NPI Number for MARYJANE EASLEY (PA-C) is 1073829982

Main info

Female
30 Years Of Experience
Accepts Medicare Assignment
Name
MARYJANE EASLEY (PA-C)
NPI
1073829982
Phone
(214) 932-8255
Address
14275 MIDWAY RD
Enumeration Date
30 August 2010
Last Update Date
30 August 2010

Doctor Profile

Medical School Name
UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Secondary Phone
2106174445
Graduation Year
1996 (30 years ago)
PAC ID
1658337548
Group Practice PAC ID
9032267323
Professional Enrollment ID
I20041202000463
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness75
Years active:15State licenses:0Digital endpointsOther names

1,797 PHYSICIAN ASSISTANT in OK

Provider Addresses for MARYJANE EASLEY (PA-C)

  • 14275 MIDWAY RD

    SUITE 400

    ADDISON, TX 750013614

    Phone: (214) 932-8255

    Fax: (972) 383-2839

    Type: Mailing

  • 3000 UNITED FOUNDERS BLVD

    SUITE 135

    OKLAHOMA CITY, OK 731123958

    Phone: (405) 842-2061

    Fax: (405) 842-3146

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 35 Open Payments records for all available years, with a total value of $774.

Total Amount is formed as General ($774) + Research ($0) + Ownership ($0) = $774.

Last reported payment date: 2024-12-26 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($86).

Total Amount

$774

General + Research + Ownership

Payments

35

Total payment records

General Amount

$774

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-26

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: 2017-12-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20041202000463IPhysician AssistantOKTBD
I20171219000294IPhysician AssistantTXTBD

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
38222Biopsy and aspiration of bone marrow sample for diagnosis5554$0
View full utilization report →

Insurance plans in this area (ZIP 75001)

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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: 9032267323View full group profile
NameSpecialtyState
P A T H O L O G YTX
P A T H O L O G YTX
Pathology, HematologyTX
P A T H O L O G YAZ
P A T H O L O G YTX

Reviews

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Frequently asked questions

Can I use this page to confirm MARYJANE EASLEY (PA-C)'s NPI?
Yes. MARYJANE EASLEY (PA-C) is listed with NPI 1073829982 in the public NPI dataset.
Is MARYJANE EASLEY (PA-C) still practicing?
MARYJANE EASLEY (PA-C) is currently listed as active in the public NPI registry.
What taxonomy line describes MARYJANE EASLEY (PA-C)?
For research purposes, treat MARYJANE EASLEY (PA-C) as Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect MARYJANE EASLEY (PA-C) on a map?
Expect Addison, Texas as a primary anchor for MARYJANE EASLEY (PA-C) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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