MALLORIE SKINNER FNP-BC
NPI 1154920239
Nurse Practitioner - Family in Owosso, MI

Active since October 20, 2020PECOS EnrolledAccepts Medicare Assignment
200 HEALTH PARK DR, OWOSSO, MI 48867(989) 723-8666(989) 725-1434 Get Directions Write a Review

NPPES record last updated: September 9, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 9, 2021, Oct 20, 2020 (2 updates tracked since 2020).

About Mallorie Skinner Fnp-bc NPPES

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

MALLORIE SKINNER FNP-BC (NPI 1154920239) is an individual family provider in Owosso, Michigan, licensed in Michigan (4704324775) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS, is affiliated with Memorial Healthcare, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1154920239
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMALLORIE SKINNERCredential: FNP-BC
Location Address200 HEALTH PARK DROwosso, MI 48867-1291
Mailing Address200 Health Park DrOwosso, MI 48867-1291 · (989) 723-8666
Fax(989) 725-1434
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateOctober 20, 2020
Last NPPES UpdateSeptember 9, 20212 updates tracked since enumeration
NPPES CertifiedJuly 20, 2021
NPI 1154920239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MI · 4704324775
200 HEALTH PARK DR, Owosso, MI 48867

Other Names 1

Former Name (1)Mallorie Fassezke

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

Mallorie Skinner Fnp-bc 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 ID5294123659
PECOS Enrollment IDI20211104000543
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.

Areas of Expertise CMS Part B claims 3

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
154 services83 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
37 services34 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
29 services29 patients

Hospital Affiliations CMS Care Compare 2

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

Memorial Healthcare

Acute Care Hospitals · Owosso, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230121
Location826 West King StreetOwosso, MI 48867 · Shiawassee County
Emergency services Birthing friendly

Edward W Sparrow Hospital

Acute Care Hospitals · Lansing, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230230
Location1215 E Michigan AvenueLansing, MI 48912 · Ingham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48867 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Other Providers at the Same Location NPPES 6

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

Dermatology
200 HEALTH PARK DR
OWOSSO, MI 48867
Physician Assistant
200 HEALTH PARK DR
OWOSSO, MI 48867
Physician Assistant
200 HEALTH PARK DR
OWOSSO, MI 48867
Sleep Specialist, PhD
200 HEALTH PARK DR
OWOSSO, MI 48867
Physician Assistant
200 HEALTH PARK DR
OWOSSO, MI 48867
Specialist
200 HEALTH PARK DR
OWOSSO, MI 48867

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 Mallorie Skinner's NPI number?

The NPI number for Mallorie Skinner is 1154920239. It was assigned to this individual provider in the NPPES registry on October 20, 2020. The provider is also known as Mallorie Fassezke.

Where is Mallorie Skinner located?

Mallorie Skinner practices at 200 Health Park Dr, Owosso, MI 48867. The listed phone number is (989) 723-8666.

What is Mallorie Skinner's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Mallorie Skinner enrolled in Medicare?

Yes. Mallorie Skinner 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 Mallorie Skinner accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community, Priority Health and UnitedHealthcare list Mallorie Skinner 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 Mallorie Skinner affiliated with any hospitals?

According to CMS data, Mallorie Skinner is affiliated with Memorial Healthcare and Edward W Sparrow Hospital.

When was this NPI record last updated?

The NPPES record for Mallorie Skinner was last updated on September 9, 2021. 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.