MALLORIE MCCOMB NP
NPI 1538538251
Nurse Practitioner in Traverse City, MI
About Mallorie Mccomb Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MALLORIE MCCOMB NP (NPI 1538538251) is an individual nurse practitioner in Traverse City, Michigan, licensed in Michigan (4704279019) and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS, is affiliated with Munson Medical Center, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mallorie Mccomb Np 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.
Medicare Billing Reassignments
3Medicare enrollment records show Mallorie Mccomb reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Traverse City, MI 49684
- Reassigned Medicare billing, Michigan enrollment
- 156 clinicians in this Medicare group
Traverse City, MI 49686
- Reassigned Medicare billing, Michigan enrollment
- 24 clinicians in this Medicare group
Jackson, MI 49201
- Reassigned Medicare billing, Michigan enrollment
- Medicare enrollment name: W.A. Foote Memorial Hospital
- 225 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 5
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.
Munson Medical Center
Acute Care Hospitals · Traverse City, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 49684 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 5
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
TRAVERSE CITY, MI 49684
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 Mccomb's NPI number?
The NPI number for Mallorie Mccomb is 1538538251. It was assigned to this individual provider in the NPPES registry on September 23, 2015. The provider is also known as Mallorie Kettleut.
Where is Mallorie Mccomb located?
Mallorie Mccomb practices at 217 S Madison St, Traverse City, MI 49684. The listed phone number is (231) 935-6080.
What is Mallorie Mccomb's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Mallorie Mccomb enrolled in Medicare?
Yes. Mallorie Mccomb 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.
Which organizations bill Medicare for Mallorie Mccomb's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mallorie Mccomb reassigns Medicare benefits to 3 organizations: Munson Healthcare Cadillac (Traverse City, MI), Munson Home Care (Traverse City, MI) and Wa Foote Memorial Hospital Inc. (Jackson, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mallorie Mccomb's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mallorie Mccomb accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Mallorie Mccomb 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 Mccomb affiliated with any hospitals?
According to CMS data, Mallorie Mccomb is affiliated with Munson Medical Center.
When was this NPI record last updated?
The NPPES record for Mallorie Mccomb was last updated on June 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.
# Mallorie Mccomb, NP · NPI 1538538251
Nurse Practitioner physician in Traverse City, Michigan. Individual provider, active in the CMS NPPES registry since September 23, 2015.
## Identity
- **NPI:** 1538538251 (Entity type: Individual)
- **Enumerated:** September 23, 2015
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 4704279019 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 217 S MADISON ST, Traverse City, MI 49684-2321
- **Phone:** (231) 935-6080 · **Fax:** (231) 935-6081
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Munson Healthcare Cadillac (NPI 1720955081, Traverse City, MI); Munson Home Care (NPI 1326002577, Traverse City, MI); Wa Foote Memorial Hospital Inc. (NPI 1083971477, Jackson, MI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Michigan Medical School, class of 2015
## Record status
- **NPPES last updated:** June 24, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1538538251) · Data from the CMS NPPES public registry.