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RENEE DEANNE MESACK P.A.-C
NPI 1629005111
Physician Assistant in Gaylord, MI

Active since June 28, 2006PECOS Enrolled
1996 WALDEN DR, GAYLORD, MI 49735(989) 731-4111(989) 705-8511 Get Directions Write a Review

NPPES record last updated: December 3, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Renee Deanne Mesack P.a.-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RENEE DEANNE MESACK P.A.-C (NPI 1629005111) is an individual physician assistant in Gaylord, Michigan, licensed in Michigan (5601002853) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1629005111
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameRENEE DEANNE MESACKCredential: P.A.-C
Location Address1996 WALDEN DRGaylord, MI 49735-8241
Mailing Address829 N Center Ave, Suite 298Gaylord, MI 49735-1595 · (989) 731-7708 · Fax (989) 731-7929
Phone(989) 731-4111
Fax(989) 705-8511
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateJune 28, 2006
Last NPPES UpdateDecember 3, 2013
✔ NPI 1629005111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MI · 5601002853
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1996 WALDEN DR, Gaylord, MI 49735
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Other Identifiers 4

Medicare ID-Type Unspecified0M29550P06Provider Number
OtherOF96004Medicare Group Number
Medicare UPINS56993
Other381303843Tax Id

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Renee Deanne Mesack P.a.-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6608904149
PECOS Enrollment IDI20260604003719
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49735 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DAVID J KURN M.D.
Family Medicine
1996 WALDEN DR
GAYLORD, MI 49735
Otsego County (989) 731-4111
MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL
Clinic/Center (Rural Health)
1996 WALDEN DR
GAYLORD, MI 49735
Otsego County (989) 731-4111
JOSEPHINE ANNE VINCENT FNP-C
Nurse Practitioner (Family)
1996 WALDEN DR
GAYLORD, MI 49735
Otsego County (989) 731-4111
MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL
General Practice
1996 WALDEN DR
GAYLORD, MI 49735
Otsego County (989) 731-4111
DR. RONALD ALAN WEISBERGER D.O.
Emergency Medicine
1996 WALDEN DR
GAYLORD, MI 49735
Otsego County (989) 731-4111

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 Renee Mesack's NPI number?

The NPI number for Renee Mesack is 1629005111. It was assigned to this individual provider in the NPPES registry on June 28, 2006.

Where is Renee Mesack located?

Renee Mesack practices at 1996 Walden Dr, Gaylord, MI 49735. The listed phone number is (989) 731-4111.

What is Renee Mesack's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Renee Mesack enrolled in Medicare?

Yes. Renee Mesack is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Renee Mesack was last updated on December 3, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.