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MALLORY HUDSON
NPI 1679163984
Physician Assistant in West Bloomfield, MI

Active since January 20, 2021PECOS EnrolledAccepts Medicare Assignment
5839 W MAPLE RD STE 100, WEST BLOOMFIELD, MI 48322(248) 862-7221 Get Directions Write a Review

NPPES record last updated: October 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 25, 2024, Jan 20, 2021 (2 updates tracked since 2021).

About Mallory Hudson NPPES

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

MALLORY HUDSON (NPI 1679163984) is an individual physician assistant in West Bloomfield, Michigan, licensed in Michigan (5601010568) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital Royal Oak, and maintains a secondary practice location in West Bloomfield.

NPPES Registry Identity

NPI1679163984
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMALLORY HUDSON
Location Address5839 W MAPLE RD STE 100West Bloomfield, MI 48322-2278
Mailing Address39555 Orchard Hill Pl Ste 600Novi, MI 48375-5381 · (517) 484-3000
Phone(248) 862-7221
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 2021
Enumeration DateJanuary 20, 2021
Last NPPES UpdateOctober 29, 20252 updates tracked since enumeration
NPPES CertifiedOctober 29, 2025
✔ NPI 1679163984 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MI · 5601010568
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
5839 W MAPLE RD STE 100, West Bloomfield, MI 48322
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Secondary Practice Location 1

Location 15793 W Maple Rd Ste 147West Bloomfield, MI 48322-4478 · Phone (248) 862-7221

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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 Hudson 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 ID5092155515
PECOS Enrollment IDI20240501002685
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.

Hospital Affiliations CMS Care Compare

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

Beaumont Hospital Royal Oak

Acute Care Hospitals · Royal Oak, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230130
Location3601 W Thirteen Mile RdRoyal Oak, MI 48073 · Oakland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48322 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
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

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

SOUTHEAST MICHIGAN SURGERY PLLC
Surgery
5839 W MAPLE RD STE 100
WEST BLOOMFIELD, MI 48322
Oakland County (248) 629-0546

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 Hudson's NPI number?

The NPI number for Mallory Hudson is 1679163984. It was assigned to this individual provider in the NPPES registry on January 20, 2021.

Where is Mallory Hudson located?

Mallory Hudson practices at 5839 W Maple Rd Ste 100, West Bloomfield, MI 48322. The listed phone number is (248) 862-7221.

What is Mallory Hudson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Mallory Hudson enrolled in Medicare?

Yes. Mallory Hudson 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 Hudson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Mallory Hudson 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 Hudson affiliated with any hospitals?

According to CMS data, Mallory Hudson is affiliated with Beaumont Hospital Royal Oak.

When was this NPI record last updated?

The NPPES record for Mallory Hudson was last updated on October 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.