KATELYN ANNE MALBRECHT PA
NPI 1861220063
Physician Assistant in Grand Rapids, MI

Q: What is Katelyn Malbrecht's NPI number?

The NPI number for Katelyn Malbrecht is 1861220063. It was assigned to this individual provider in the NPPES registry on July 22, 2024.

Q: What is Katelyn Malbrecht's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Katelyn Malbrecht was last updated on June 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since July 22, 2024PECOS EnrolledAccepts Medicare Assignment

1900 WEALTHY ST SE STE 100, GRAND RAPIDS, MI 49506(616) 267-7333 Get Directions Write a Review

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

Record update history: Jun 1, 2026, Oct 11, 2024, Oct 4, 2024 and 1 more (4 updates tracked since 2024).

On this page

About Katelyn Anne Malbrecht Pa NPPES

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

KATELYN ANNE MALBRECHT PA (NPI 1861220063) is an individual physician assistant in Grand Rapids, Michigan, licensed in Michigan (5601013714) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS, is affiliated with Northeast Georgia Medical Center, Inc, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1861220063

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameKATELYN ANNE MALBRECHTCredential: PA

Location Address1900 WEALTHY ST SE STE 100Grand Rapids, MI 49506-2972

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

Phone(616) 267-7333

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateJuly 22, 2024

Last NPPES UpdateJune 1, 20264 updates tracked since enumeration

NPPES CertifiedJune 1, 2026

✔ NPI 1861220063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in MI · 5601013714

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.

1900 WEALTHY ST SE STE 100, Grand Rapids, MI 49506

Open in Google Maps ↗

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

Katelyn Anne Malbrecht 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 ID3476088501

PECOS Enrollment IDI20241126000663

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 2

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

Northeast Georgia Medical Center, Inc

Acute Care Hospitals · Gainesville, GA

3/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number110029

Location743 Spring StreetGainesville, GA 30501 · Hall County

Emergency services Birthing friendly

Northeast Georgia Medical Center Habersham

Acute Care Hospitals · Demorest, GA

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number110041

Location541 Historic Highway 441-NorthDemorest, GA 30535 · Habersham County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49506 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.

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.

ALEXANDER MICHAEL SHANNON DO

Urology