MALLORY ANN SMITH PA-C
NPI 1346902038
Physician Assistant in Holland, MI

Active since October 10, 2021PECOS EnrolledAccepts Medicare Assignment
588 E LAKEWOOD BLVD, HOLLAND, MI 49424(616) 494-5800 Get Directions Write a Review

NPPES record last updated: August 6, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 6, 2024, Jul 15, 2024, May 7, 2024 and 2 more (5 updates tracked since 2021).

About Mallory Ann Smith Pa-c NPPES

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

MALLORY ANN SMITH PA-C (NPI 1346902038) is an individual physician assistant in Holland, Michigan, licensed in Michigan (5601012251) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1346902038
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMALLORY ANN SMITHCredential: PA-C
Location Address588 E LAKEWOOD BLVDHolland, MI 49424-2023
Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 10, 2021
Last NPPES UpdateAugust 6, 20245 updates tracked since enumeration
NPPES CertifiedAugust 6, 2024
NPI 1346902038 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MI · 5601012251
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
588 E LAKEWOOD BLVD, Holland, MI 49424

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

Mallory Ann Smith Pa-c 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 ID8325438658
PECOS Enrollment IDI20240515002943
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

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 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.
34 services31 patients

Hospital Affiliations CMS Care Compare

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

Spectrum Health

Acute Care Hospitals · Grand Rapids, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230038
Location100 Michigan St NEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49424 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
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
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 20

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

Physician Assistant
588 E LAKEWOOD BLVD
HOLLAND, MI 49424
Family Medicine
588 E LAKEWOOD BLVD
HOLLAND, MI 49424
Obstetrics & Gynecology
588 E LAKEWOOD BLVD, 2ND FLOOR
HOLLAND, MI 49424
Physician Assistant
588 E LAKEWOOD BLVD
HOLLAND, MI 49424
Pediatrics
588 E LAKEWOOD BLVD
HOLLAND, MI 49424
Internal Medicine
588 E LAKEWOOD BLVD
HOLLAND, MI 49424
Pediatrics
588 E LAKEWOOD BLVD
HOLLAND, MI 49424
Internal Medicine (Cardiovascular Disease)
588 E LAKEWOOD BLVD
HOLLAND, MI 49424

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 Smith's NPI number?

The NPI number for Mallory Smith is 1346902038. It was assigned to this individual provider in the NPPES registry on October 10, 2021.

Where is Mallory Smith located?

Mallory Smith practices at 588 E Lakewood Blvd, Holland, MI 49424. The listed phone number is (616) 494-5800.

What is Mallory Smith's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Mallory Smith enrolled in Medicare?

Yes. Mallory Smith 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 Smith accept?

Health plans from Priority Health list Mallory Smith 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 Smith affiliated with any hospitals?

According to CMS data, Mallory Smith is affiliated with Spectrum Health.

When was this NPI record last updated?

The NPPES record for Mallory Smith was last updated on August 6, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.