MRS. ELIZABETH REVERE MCMAHAN AGPCNP-BC
NPI 1013786128
Nurse Practitioner - Adult Health in Detroit, MI
About Mrs. Elizabeth Revere Mcmahan Agpcnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. ELIZABETH REVERE MCMAHAN AGPCNP-BC (NPI 1013786128) is an individual adult health provider in Detroit, Michigan, licensed in Michigan (4704318459) and active in the NPI registry since December 2023. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Elizabeth Revere Mcmahan Agpcnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48202 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Elizabeth Mcmahan's NPI number?
The NPI number for Elizabeth Mcmahan is 1013786128. It was assigned to this individual provider in the NPPES registry on December 29, 2023.
Where is Elizabeth Mcmahan located?
Elizabeth Mcmahan practices at 2799 W Grand Blvd, Detroit, MI 48202. The listed phone number is (313) 916-2588.
What is Elizabeth Mcmahan's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Elizabeth Mcmahan enrolled in Medicare?
Yes. Elizabeth Mcmahan is registered in the Medicare PECOS enrollment system.
What insurance does Elizabeth Mcmahan accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Elizabeth Mcmahan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Elizabeth Mcmahan was last updated on June 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 49 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mrs. Elizabeth Revere Mcmahan, AGPCNP-BC · NPI 1013786128
Adult Health physician in Detroit, Michigan. Individual provider, active in the CMS NPPES registry since December 29, 2023.
## Identity
- **NPI:** 1013786128 (Entity type: Individual)
- **Enumerated:** December 29, 2023
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** 4704318459 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 2799 W GRAND BLVD, Detroit, MI 48202-2608
- **Phone:** (313) 916-2588
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** June 22, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1013786128) · Data from the CMS NPPES public registry.