MALLORY QUINN MARLOWE (PA) – Physician Assistant, NPI 1104431477

MALLORY QUINN MARLOWE (PA) is a healthcare provider. based in Grand rapids, Michigan. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 5601010078 (MI). The NPI Number for MALLORY QUINN MARLOWE (PA) is 1104431477

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
MALLORY QUINN MARLOWE (PA)
NPI
1104431477
Phone
(616) 486-6790
Address
100 MICHIGAN ST NE # MC845
Enumeration Date
13 September 2020
Last Update Date
31 May 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6166855600
Graduation Year
2020 (6 years ago)
PAC ID
5890115752
Group Practice PAC ID
4082807961
Professional Enrollment ID
I20201014000913
Address ID
MI495034608GR250XXSEXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

6,066 PHYSICIAN ASSISTANT in MI

Provider Addresses for MALLORY QUINN MARLOWE (PA)

  • 100 MICHIGAN ST NE # MC845

    GRAND RAPIDS, MI 495032560

    Phone: (616) 486-6790

    Type: Mailing

  • 7751 BYRON CENTER AVE SW STE C

    BYRON CENTER, MI 493158001

    Phone: (616) 267-7668

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-10-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20201014000913IPhysician AssistantMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes11155$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes3333$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes3328$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes2323$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes1716$0
View full utilization report →

Insurance plans in this area (ZIP 49503)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4082807961View full group profile

Reviews

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Frequently asked questions

What is MALLORY QUINN MARLOWE (PA)'s NPI number?
MALLORY QUINN MARLOWE (PA)'s NPI is 1104431477 — the number used across U.S. healthcare to identify this provider.
Would MALLORY QUINN MARLOWE (PA) appear as active to a payer?
You can treat MALLORY QUINN MARLOWE (PA) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for MALLORY QUINN MARLOWE (PA)?
At a glance, MALLORY QUINN MARLOWE (PA) is tied to Physician Assistant. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MALLORY QUINN MARLOWE (PA)?
Travel planning: use Grand Rapids, Michigan as the reference point for MALLORY QUINN MARLOWE (PA), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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