DR. MALLORY A GOLDMAN AGACNP-BC, DNP
NPI 1124754320
Nurse Practitioner - Acute Care in Detroit, MI
About Dr. Mallory A Goldman Agacnp-bc, Dnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MALLORY A GOLDMAN AGACNP-BC, DNP (NPI 1124754320) is an individual acute care provider in Detroit, Michigan, licensed in Michigan (4704327448) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS, is affiliated with Henry Ford Health Hospital, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
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
Dr. Mallory A Goldman Agacnp-bc, Dnp 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.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Henry Ford Health Hospital
Acute Care Hospitals · Detroit, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48202 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Mallory Goldman's NPI number?
The NPI number for Mallory Goldman is 1124754320. It was assigned to this individual provider in the NPPES registry on July 29, 2022.
Where is Mallory Goldman located?
Mallory Goldman practices at 2799 W Grand Blvd, Detroit, MI 48202. The listed phone number is (313) 916-2600.
What is Mallory Goldman's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Mallory Goldman enrolled in Medicare?
Yes. Mallory Goldman 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 Mallory Goldman accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Mallory Goldman 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 Mallory Goldman affiliated with any hospitals?
According to CMS data, Mallory Goldman is affiliated with Henry Ford Health Hospital.
When was this NPI record last updated?
The NPPES record for Mallory Goldman was last updated on October 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Dr. Mallory A Goldman, AGACNP-BC, DNP · NPI 1124754320
Acute Care physician in Detroit, Michigan. Individual provider, active in the CMS NPPES registry since July 29, 2022.
## Identity
- **NPI:** 1124754320 (Entity type: Individual)
- **Enumerated:** July 29, 2022
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 4704327448 (Michigan)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2799 W GRAND BLVD, Detroit, MI 48202-2608
- **Phone:** (313) 916-2600
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** October 21, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1124754320) · Data from the CMS NPPES public registry.