RYAN HOLLEY - MALLO DNP, FNP-C
NPI 1992094403
Nurse Practitioner - Primary Care in Novi, MI
About Ryan Holley - Mallo Dnp, Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RYAN HOLLEY - MALLO DNP, FNP-C (NPI 1992094403) is an individual primary care provider in Novi, Michigan, licensed in Michigan (4704259565) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS, is affiliated with Mclaren Central Michigan, and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ryan Holley - Mallo Dnp, Fnp-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.
Medicare Billing Reassignments
4Medicare enrollment records show Ryan Holley - Mallo reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Novi, MI 48375
- Reassigned Medicare billing, Michigan enrollment
- 383 clinicians in this Medicare group
Novi, MI 48375
- Reassigned Medicare billing, Michigan enrollment
- 169 clinicians in this Medicare group
Mt Pleasant, MI 48858
- Reassigned Medicare billing, Michigan enrollment
- 3 clinicians in this Medicare group
Grand Rapids, MI 49548
- Reassigned Medicare billing, Michigan enrollment
- Medicare enrollment name: Catherine's Health Center
- 19 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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mclaren Central Michigan
Acute Care Hospitals · Mount Pleasant, MIMymichigan Medical Center Clare
Acute Care Hospitals · Clare, MISheridan Community Hospital
Critical Access Hospitals · Sheridan, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48375 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.
NOVI, MI 48375
NOVI, MI 48375
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 Ryan Holley - Mallo's NPI number?
The NPI number for Ryan Holley - Mallo is 1992094403. It was assigned to this individual provider in the NPPES registry on April 5, 2011.
Where is Ryan Holley - Mallo located?
Ryan Holley - Mallo practices at 41800 W 11 Mile Rd Ste 109, Novi, MI 48375. The listed phone number is (248) 660-1220.
What is Ryan Holley - Mallo's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Ryan Holley - Mallo enrolled in Medicare?
Yes. Ryan Holley - Mallo 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.
Which organizations bill Medicare for Ryan Holley - Mallo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ryan Holley - Mallo reassigns Medicare benefits to 4 organizations: Theoria Medical (Novi, MI), Complexcare Medical Group Midwest H PLLC (Novi, MI), Mid-Michigan Neurology Center, PLLC (Mt Pleasant, MI) and Catherines Health Center (Grand Rapids, MI). Each 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 Ryan Holley - Mallo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ryan Holley - Mallo 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 Ryan Holley - Mallo 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 Ryan Holley - Mallo affiliated with any hospitals?
According to CMS data, Ryan Holley - Mallo is affiliated with Mclaren Central Michigan, Mymichigan Medical Center Clare and Sheridan Community Hospital.
When was this NPI record last updated?
The NPPES record for Ryan Holley - Mallo was last updated on March 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Ryan Holley - Mallo, DNP, FNP-C · NPI 1992094403
Primary Care physician in Novi, Michigan. Individual provider, active in the CMS NPPES registry since April 5, 2011.
## Identity
- **NPI:** 1992094403 (Entity type: Individual)
- **Enumerated:** April 5, 2011
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** 4704259565 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 41800 W 11 MILE RD STE 109, Novi, MI 48375-1818
- **Phone:** (248) 660-1220
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Theoria Medical (NPI 1609362375, Novi, MI); Complexcare Medical Group Midwest H PLLC (NPI 1457144933, Novi, MI); Mid-Michigan Neurology Center, PLLC (NPI 1053648220, Mt Pleasant, MI); Catherines Health Center (NPI 1669074415, Grand Rapids, MI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** March 28, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1992094403) · Data from the CMS NPPES public registry.