MALLORY ANN MYSLENSKI AGNP-C
NPI 1366937716
Nurse Practitioner in Wyoming, MI

Active since June 28, 2018PECOS EnrolledAccepts Medicare Assignment
2122 HEALTH DR SW STE 133, WYOMING, MI 49519(616) 252-5950(616) 252-5956 Get Directions Write a Review

NPPES record last updated: February 5, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 5, 2019, Aug 2, 2018, Jun 28, 2018 (3 updates tracked since 2018).

About Mallory Ann Myslenski Agnp-c NPPES

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

MALLORY ANN MYSLENSKI AGNP-C (NPI 1366937716) is an individual nurse practitioner in Wyoming, Michigan, licensed in Michigan (4704301141) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1366937716
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMALLORY ANN MYSLENSKICredential: AGNP-C
Location Address2122 HEALTH DR SW STE 133Wyoming, MI 49519-9698
Mailing Address5900 Byron Center Ave Sw, Medical AdministrationWyoming, MI 49519-9606 · (616) 252-3243 · Fax (616) 252-0260
Fax(616) 252-5956
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJune 28, 2018
Last NPPES UpdateFebruary 5, 20193 updates tracked since enumeration
NPI 1366937716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses Licensed in MI · 4704301141 Licensed in MI · AG06180160
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License AG06180160 (MI)
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License AG06180160 (MI)
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License AG06180160 (MI)
2122 HEALTH DR SW STE 133, Wyoming, MI 49519

Other Names 1

Former Name (1)Mallory Ann Stafford

Other Identifiers 1

Medicaid1366937716MI

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 Myslenski Agnp-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 ID5799033486
PECOS Enrollment IDI20180813002909
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.
79 services74 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
56 services32 patients
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.
22 services21 patients

Hospital Affiliations CMS Care Compare 2

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

University Of Michigan Health - West

Acute Care Hospitals · Wyoming, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230236
Location5900 Byron Center Avenue, SWWyoming, MI 49519 · Kent County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49519 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 7

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

Physician Assistant
2122 HEALTH DR SW STE 133
WYOMING, MI 49519
Physician Assistant
2122 HEALTH DR SW STE 133
WYOMING, MI 49519
Physician Assistant
2122 HEALTH DR SW STE 133
WYOMING, MI 49519
Internal Medicine (Cardiovascular Disease)
2122 HEALTH DR SW STE 133
WYOMING, MI 49519
Clinic/Center (Rehabilitation, Cardiac Facilities)
2122 HEALTH DR SW STE 133
WYOMING, MI 49519
Internal Medicine (Cardiovascular Disease)
2122 HEALTH DR SW STE 133
WYOMING, MI 49519
Physician Assistant
2122 HEALTH DR SW STE 133
WYOMING, MI 49519

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 Myslenski's NPI number?

The NPI number for Mallory Myslenski is 1366937716. It was assigned to this individual provider in the NPPES registry on June 28, 2018. The provider is also known as Mallory Ann Stafford.

Where is Mallory Myslenski located?

Mallory Myslenski practices at 2122 Health Dr SW Ste 133, Wyoming, MI 49519. The listed phone number is (616) 252-5950.

What is Mallory Myslenski's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Mallory Myslenski enrolled in Medicare?

Yes. Mallory Myslenski 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 Myslenski accept?

Health plans from Priority Health and UnitedHealthcare list Mallory Myslenski 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 Myslenski affiliated with any hospitals?

According to CMS data, Mallory Myslenski is affiliated with Spectrum Health and University Of Michigan Health - West.

When was this NPI record last updated?

The NPPES record for Mallory Myslenski was last updated on February 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.