MARY A MANDZIARA NP
NPI 1669568341
Nurse Practitioner - Acute Care in Grosse Pointe Woods, MI
About Mary A Mandziara Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY A MANDZIARA NP (NPI 1669568341) is an individual acute care provider in Grosse Pointe Woods, Michigan, licensed in Michigan (4704131950) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 4
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mary A Mandziara Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Mary Mandziara reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Detroit, MI 48236
- Reassigned Medicare billing, Michigan enrollment
- Also billed through NPI 1700831500 (Michigan)
- 520 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 48236 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
GROSSE POINTE WOODS, MI 48236
GROSSE POINTE WOODS, MI 48236
GROSSE POINTE, MI 48236
GROSSE POINTE WOODS, MI 48236
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 Mary Mandziara's NPI number?
The NPI number for Mary Mandziara is 1669568341. It was assigned to this individual provider in the NPPES registry on October 4, 2006. The provider is also known as Mary A Marchese.
Where is Mary Mandziara located?
Mary Mandziara practices at 19229 Mack Ave Suite 34, Grosse Pointe Woods, MI 48236. The listed phone number is (313) 647-3245.
What is Mary Mandziara's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Mary Mandziara enrolled in Medicare?
Yes. Mary Mandziara is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Mary Mandziara's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Mandziara reassigns Medicare benefits to Henry Ford Health St. John Hospital (Detroit, 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 Mary Mandziara's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Mary Mandziara was last updated on October 24, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Mary A Mandziara, NP · NPI 1669568341
Acute Care physician in Grosse Pointe Woods, Michigan. Individual provider, active in the CMS NPPES registry since October 4, 2006.
## Identity
- **NPI:** 1669568341 (Entity type: Individual)
- **Enumerated:** October 4, 2006
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 4704131950 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 19229 MACK AVE, SUITE 34, Grosse Pointe Woods, MI 48236-2858
- **Phone:** (313) 647-3245 · **Fax:** (313) 647-3244
## 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:** Henry Ford Health St. John Hospital (NPI 1114366333, Detroit, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 24, 2014
- **Other identifiers:** Other 0866737 (MI); Medicaid 4327582 (MA); Other 4704131950 (MI); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1669568341) · Data from the CMS NPPES public registry.