MALLORY MARTENS PA
NPI 1629433172
Physician Assistant - Medical in Grand Rapids, MI

Q: What is Mallory Martens's NPI number?

The NPI number for Mallory Martens is 1629433172. It was assigned to this individual provider in the NPPES registry on December 29, 2015.

Q: What is Mallory Martens's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Mallory Martens was last updated on September 1, 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.

Active since December 29, 2015PECOS EnrolledAccepts Medicare Assignment

100 MICHIGAN ST NE, GRAND RAPIDS, MI 49503(616) 391-3431(616) 391-2783 Get Directions Write a Review

NPPES record last updated: September 1, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 26, 2021, Feb 29, 2016, Dec 29, 2015 (3 updates tracked since 2015).

On this page

About Mallory Martens Pa NPPES

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

MALLORY MARTENS PA (NPI 1629433172) is an individual medical provider in Grand Rapids, Michigan, licensed in Michigan (5601007638) and active in the NPI registry since December 2015. She is enrolled in Medicare PECOS, is affiliated with University Of Michigan Health - West, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1629433172

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameMALLORY MARTENSCredential: PA

Location Address100 MICHIGAN ST NEGrand Rapids, MI 49503

Mailing Address100 Michigan St Ne, Mc 845Grand Rapids, MI 49503-2560

Phone(616) 391-3431

Fax(616) 391-2783

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateDecember 29, 2015

Last NPPES UpdateSeptember 1, 20213 updates tracked since enumeration

NPPES CertifiedSeptember 1, 2021

✔ NPI 1629433172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in MI · 5601007638

100 MICHIGAN ST NE, Grand Rapids, MI 49503

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.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 Martens Pa 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 ID2264736313

PECOS Enrollment IDI20160210000389

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 2

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.

87 services82 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.

27 services27 patients

Hospital Affiliations CMS Care Compare

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

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

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.

MAUREEN TAN PEDRES M.D.

Internal Medicine

100 MICHIGAN ST NE, SUITE A721
GRAND RAPIDS, MI 49503

Kent County (616) 391-3139

MATTHEW H ARMSTRONG MD

Anesthesiology

100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503

Kent County (616) 391-1510

ALINE DE QUADROS TEIXEIRA MD

Internal Medicine

100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503

Kent County (616) 391-3139

DR. LINDSEY DANIELLE CONRADO PT, DPT

Physical Therapist

100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503

Kent County (161) 639-1177

DANIEL H. ROBINSON D.O.

Anesthesiology

100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503

Kent County (616) 391-1510

MARK GREENWOOD DO

Emergency Medicine

100 MICHIGAN ST NE, MC 71
GRAND RAPIDS, MI 49503

Kent County (616) 391-5310

RAYMOND SCUREK MD

Emergency Medicine

100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503

Kent County (616) 391-1680

MRS. RACHEL LEIGH VANSTRIEN PA-C

Physician Assistant

100 MICHIGAN ST NE, SUITE 8861
GRAND RAPIDS, MI 49503

Kent County (616) 391-0800

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 Martens's NPI number?

The NPI number for Mallory Martens is 1629433172. It was assigned to this individual provider in the NPPES registry on December 29, 2015.

Where is Mallory Martens located?

Mallory Martens practices at 100 Michigan St NE, Grand Rapids, MI 49503. The listed phone number is (616) 391-3431.

What is Mallory Martens's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Mallory Martens enrolled in Medicare?

Yes. Mallory Martens 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 Martens accept?

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

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

When was this NPI record last updated?

The NPPES record for Mallory Martens was last updated on September 1, 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.