DR. MALLORY M RADZIK FNP
NPI 1659098036
Nurse Practitioner - Family in Grosse Pointe, MI
About Dr. Mallory M Radzik Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MALLORY M RADZIK FNP (NPI 1659098036) is an individual family provider in Grosse Pointe, Michigan, licensed in Michigan (4704309438) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Mallory M Radzik Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Mallory Radzik reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Garden City, MI 48135
- Reassigned Medicare billing, Michigan enrollment
- 19 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48230 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Radzik's NPI number?
The NPI number for Mallory Radzik is 1659098036. It was assigned to this individual provider in the NPPES registry on October 26, 2022.
Where is Mallory Radzik located?
Mallory Radzik practices at 17410 Mack Ave # 1147, Grosse Pointe, MI 48230. The listed phone number is (586) 864-2887.
What is Mallory Radzik's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Mallory Radzik enrolled in Medicare?
Yes. Mallory Radzik is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Mallory Radzik's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mallory Radzik reassigns Medicare benefits to Vitality Visiting Physicians, PLLC (Garden City, MI). The 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 Mallory Radzik's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mallory Radzik accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Mallory Radzik 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.
When was this NPI record last updated?
The NPPES record for Mallory Radzik was last updated on June 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Dr. Mallory M Radzik, FNP · NPI 1659098036
Family physician in Grosse Pointe, Michigan. Individual provider, active in the CMS NPPES registry since October 26, 2022.
## Identity
- **NPI:** 1659098036 (Entity type: Individual)
- **Enumerated:** October 26, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 4704309438 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 17410 MACK AVE # 1147, Grosse Pointe, MI 48230-6228
- **Phone:** (586) 864-2887
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Vitality Visiting Physicians, PLLC (NPI 1073230876, Garden City, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 19, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1659098036) · Data from the CMS NPPES public registry.