Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MALLORY VENSKO RN
NPI 1972485399
Advanced Practice Midwife in Royal Oak, MI

Q: What is Mallory Vensko's NPI number?

The NPI number for Mallory Vensko is 1972485399. It was assigned to this individual provider in the NPPES registry on July 24, 2025.

Q: What is Mallory Vensko's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Q: When was this NPI record last updated?

The NPPES record for Mallory Vensko was last updated on October 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days 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 24, 2025PECOS Enrolled

3601 W 13 MILE RD, ROYAL OAK, MI 48073(248) 898-5000 Get Directions Write a Review

NPPES record last updated: October 1, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Mallory Vensko Rn NPPES

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

MALLORY VENSKO RN (NPI 1972485399) is an individual advanced practice midwife in Royal Oak, Michigan, licensed in Michigan (4704377239) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Livonia, and is a graduate of Other (2026).

NPPES Registry Identity

NPI1972485399

Entity TypeIndividualFemale

Primary Taxonomy367A00000X

Provider Legal NameMALLORY VENSKOCredential: RN

Location Address3601 W 13 MILE RDRoyal Oak, MI 48073-6712

Mailing Address26901 Beaumont Blvd Ste 3dSouthfield, MI 48033-3849

Phone(248) 898-5000

Sole ProprietorNo

Medical School CMSOtherGraduated 2026

Enumeration DateJuly 24, 2025

Last NPPES UpdateOctober 1, 2026

NPPES CertifiedOctober 1, 2026

✔ NPI 1972485399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367A00000X

License✔ Licensed in MI · 4704377239

Definition

Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.

Also ListedRegistered NurseTaxonomy 163W00000X · License 4704377239 (MI)

3601 W 13 MILE RD, Royal Oak, MI 48073

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Secondary Practice Location 1

Location 117471 McNamara DrLivonia, MI 48152-3113 · Phone (734) 788-5732

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mallory Vensko Rn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID941767495

PECOS Enrollment IDI20260805001560

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48073 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 20

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

AMIT BAHL MD, MPH

Emergency Medicine

3601 W 13 MILE RD, WILLIAM BEAUMONT HOSPITAL
ROYAL OAK, MI 48073

Oakland County (248) 898-0575

CATHERINE LEE PA

Physician Assistant