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Deactivated NPI 1790351732 Deactivated / Inactive NPI Female Practitioner

Debra Ann Pascoe

Peer Specialist • Marquette, 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, Debra Pascoe has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 01, 2021
NPI Deactivation Date January 30, 2022
Total Practice Duration ~1 Years of Practice (2021 – 2022)

Professional Overview & Biography Verified Profile Summary

Debra Pascoe was a registered Peer Specialist practicing in Marquette, MI. Throughout an active medical career spanning 1 years, Debra Pascoe provided care at the practice location at 1009 W RIDGE ST STE C until profile deactivation on 2022-01-30.

Practice Location & Contact Primary Location

Practice Address

1009 W Ridge St Ste C

Marquette, MI 498553997

Telephone 9062286545
Associated Practice Facility / Clinic
🏢 Great Lakes Recovery Centers Facility NPI 1578545141

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Marquette, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
5 Specialists

Practicing in Marquette, MI (1765 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Practice Associates & Co-Workers

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

21 Associated Practitioners
Amy Vanderberg

Counselor - Addiction (Substance Use Disorder)

NPI 1104562941
Emily Miller , MSW

Counselor - Addiction (Substance Use Disorder)

NPI 1184183691

Master of Social Work

Autumn Enright

Counselor - Addiction (Substance Use Disorder)

NPI 1184488504
Amy Frieden

Social Worker - Clinical

NPI 1205695152
NPI 1235506924
Josephine Hedglen

Counselor - Addiction (Substance Use Disorder)

NPI 1245735323

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 January 30, 2022

Record deactivated on January 30, 2022

NPI Profile Active June 01, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location June 01, 2021

Registered at 1009 W RIDGE ST STE C, MARQUETTE, MI 498553997 (Tel: 9062286545)

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Updated Business Mailing Address June 01, 2021

Registered at 97 S 4TH ST STE C, ISHPEMING, MI 498492168 (Tel: 9062289699)

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Provider Name / Credentials Updated June 01, 2021

Recorded as DEBRA PASCOE

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 01, 2021

Peer Specialist

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Initial NPI Registration & Enumeration June 01, 2021

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: 1790351732
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 01, 2021
Last Update: June 01, 2021
Deactivation Date: January 30, 2022

Mailing Address

97 S 4th St Ste C

Ishpeming, MI 498492168

Phone: 9062289699

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

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.