MICHELLE MALZ
NPI 1033805296
Nurse Practitioner - Primary Care in Manchester, CT

Q: What is Michelle Malz's NPI number?

The NPI number for Michelle Malz is 1033805296. It was assigned to this individual provider in the NPPES registry on April 12, 2023.

Q: What is Michelle Malz's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Q: When was this NPI record last updated?

The NPPES record for Michelle Malz was last updated on March 18, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 12, 2023PECOS Enrolled

315 E CENTER ST, MANCHESTER, CT 06040(860) 533-0179 Get Directions Write a Review

NPPES record last updated: March 18, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 18, 2025, Apr 12, 2023 (2 updates tracked since 2023).

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About Michelle Malz NPPES

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

MICHELLE MALZ (NPI 1033805296) is an individual primary care provider in Manchester, Connecticut, licensed in Connecticut (11881) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1033805296

Entity TypeIndividualFemale

Primary Taxonomy363LP2300X

Provider Legal NameMICHELLE MALZ

Location Address315 E CENTER STManchester, CT 06040-3315

Mailing Address47b Carillon DrRocky Hill, CT 06067-2501

Phone(860) 533-0179

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateApril 12, 2023

Last NPPES UpdateMarch 18, 20252 updates tracked since enumeration

NPPES CertifiedMarch 18, 2025

✔ NPI 1033805296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

License✔ Licensed in CT · 11881

Also ListedRegistered NurseTaxonomy 163W00000X · License 143177 (CT)

315 E CENTER ST, Manchester, CT 06040

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michelle Malz is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1759862600

PECOS Enrollment IDI20260227002594

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 06040 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

$93.86 typical visit price

range $60.82 – $183.10

Typical copayment $23.46 (range $15.20 – $45.77)

Most-billed visit code 99203

Established Patient

$106.68 typical visit price

range $19.76 – $149.26

Typical copayment $26.67 (range $4.94 – $37.31)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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