MALLORY ELAINE O'BRIEN PA-C
NPI 1700647948
Physician Assistant in Lansing, MI

Active since January 16, 2024PECOS EnrolledAccepts Medicare Assignment
2515 WOODRUFF AVE, LANSING, MI 48912(517) 331-4068 Get Directions Write a Review

NPPES record last updated: January 16, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mallory Elaine O'brien Pa-c NPPES

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

MALLORY ELAINE O'BRIEN PA-C (NPI 1700647948) is an individual physician assistant in Lansing, Michigan and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS, is affiliated with Dickinson County Memorial Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1700647948
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMALLORY ELAINE O'BRIENCredential: PA-C
Location Address2515 WOODRUFF AVELansing, MI 48912-4441
Mailing Address2515 Woodruff AveLansing, MI 48912-4441 · (517) 331-4068
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJanuary 16, 2024
NPPES CertifiedJanuary 16, 2024
NPI 1700647948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
2515 WOODRUFF AVE, Lansing, MI 48912

Accepted 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 Elaine O'brien Pa-c 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 ID4880128206
PECOS Enrollment IDI20241107003109
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.

Dickinson County Memorial Hospital

Acute Care Hospitals · Iron Mountain, MI
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number230055
Location1721 S Stephenson AveIron Mountain, MI 49801 · Dickinson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48912 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

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 O'brien's NPI number?

The NPI number for Mallory O'brien is 1700647948. It was assigned to this individual provider in the NPPES registry on January 16, 2024.

Where is Mallory O'brien located?

Mallory O'brien practices at 2515 Woodruff Ave, Lansing, MI 48912. The listed phone number is (517) 331-4068.

What is Mallory O'brien's specialty?

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

Is Mallory O'brien enrolled in Medicare?

Yes. Mallory O'brien 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 O'brien accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Network Health list Mallory O'brien 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 O'brien affiliated with any hospitals?

According to CMS data, Mallory O'brien is affiliated with Dickinson County Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Mallory O'brien was last updated on January 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.