EVAN G TACEY
NPI 1700524253
Social Worker in Niles, MI

Active since May 24, 2022PECOS EnrolledAccepts Medicare Assignment
20 N 2ND ST STE 103, NILES, MI 49120(269) 262-1815 Get Directions Write a Review

NPPES record last updated: May 24, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Evan G Tacey NPPES

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

EVAN G TACEY (NPI 1700524253) is an individual social worker in Niles, Michigan and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS, is affiliated with Mymichigan Medical Center Midland, and is a graduate of Michigan State University College Of Human Medicine (2022).

NPPES Registry Identity

NPI1700524253
Entity TypeIndividualMale
Primary Taxonomy104100000X
Provider Legal NameEVAN G TACEY
Location Address20 N 2ND ST STE 103Niles, MI 49120-2259
Mailing Address20 N 2nd St Ste 103Niles, MI 49120-2259 · (269) 262-1815
Sole ProprietorYes
Medical School CMSMichigan State University College Of Human MedicineGraduated 2022
Enumeration DateMay 24, 2022
NPPES CertifiedMay 24, 2022
NPI 1700524253 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
20 N 2ND ST STE 103, Niles, MI 49120

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 and accepts Medicare assignment

Evan G Tacey is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6305346404
PECOS Enrollment IDI20250822003706
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mymichigan Medical Center Midland

Acute Care Hospitals · Midland, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230222
Location4000 Wellness DriveMidland, MI 48670 · Midland County
Birthing friendly

Other Providers at the Same Location NPPES 7

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

Social Worker
20 N 2ND ST STE 103
NILES, MI 49120
Social Worker (Clinical)
20 N 2ND ST STE 103
NILES, MI 49120
Counselor (Professional)
20 N 2ND ST STE 103
NILES, MI 49120
Counselor (Professional)
20 N 2ND ST STE 103
NILES, MI 49120
Counselor (Mental Health)
20 N 2ND ST STE 103
NILES, MI 49120
Counselor (Mental Health)
20 N 2ND ST STE 103
NILES, MI 49120
Counselor (Mental Health)
20 N 2ND ST STE 103
NILES, MI 49120

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 Evan Tacey's NPI number?

The NPI number for Evan Tacey is 1700524253. It was assigned to this individual provider in the NPPES registry on May 24, 2022.

Where is Evan Tacey located?

Evan Tacey practices at 20 N 2nd St Ste 103, Niles, MI 49120. The listed phone number is (269) 262-1815.

What is Evan Tacey's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Evan Tacey enrolled in Medicare?

Yes. Evan Tacey is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Evan Tacey accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company, Priority Health and Providence Health Plan and 1 other insurer list Evan Tacey 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.

Is Evan Tacey affiliated with any hospitals?

According to CMS data, Evan Tacey is affiliated with Mymichigan Medical Center Midland.

When was this NPI record last updated?

The NPPES record for Evan Tacey was last updated on May 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.