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Deactivated NPI 1073668109 Deactivated / Inactive NPI Male Practitioner

John P Eagan

Social Worker • Alpena, MI

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, John Eagan has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 25, 2007
NPI Deactivation Date April 23, 2026
Total Practice Duration ~19 Years of Practice (2007 – 2026)

Professional Overview & Biography Verified Profile Summary

John Eagan was a registered Social Worker practicing in Alpena, MI. Throughout an active medical career spanning 19 years, John Eagan provided care at the practice location at 1501 W CHISHOLM ST until profile deactivation on 2026-04-23.

Historical Medicare Part B clinical services included psychotherapy, psychiatric diagnostic evaluation. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

1501 W Chisholm St

Alpena, MI 497071401

Telephone 9893567390
Fax 9893568013
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Alpena, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.0 Yrs
State Avg: 16.0 Yrs
Regional Practice Density
49 Specialists

Practicing in Alpena, MI (9360 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
60.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90834 Psychotherapy, 45 minutes
171 25 $171.29 $67.61

Medical Specialties & State Licenses

Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License MI 6801058514

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

32 Associated Practitioners
Dr. Abdullahi Mohamed , MD

Psychiatry & Neurology - Psychiatry

NPI 1013009000

Doctor of Medicine (M.D.)

Gary Knudson

Social Worker - Clinical

NPI 1023163144
NPI 1053323832

Licensed Master Social Worker

Dr. Monika Arora , MD

Psychiatry & Neurology - Psychiatry

NPI 1083705727

Doctor of Medicine (M.D.)

NPI 1144277187

Doctor of Medicine (M.D.)

Dr. Sandra Mantz , MD

Internal Medicine - Hematology & Oncology

NPI 1164591285

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated April 23, 2026

Record deactivated on April 23, 2026

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 1501 W CHISHOLM ST, ALPENA, MI 497071401 (Tel: 9893567390)

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Updated Business Mailing Address July 08, 2007

Registered at 202 S 1ST AVE, ALPENA, MI 497073808

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Provider Name / Credentials Updated July 08, 2007

Recorded as JOHN EAGAN

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Social Worker (License #6801058514 in MI)

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Initial NPI Registration & Enumeration January 25, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1073668109
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 25, 2007
Last Update: July 08, 2007
Deactivation Date: April 23, 2026

Mailing Address

202 S 1st Ave

Alpena, MI 497073808

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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