SHERRY ANN MALINCZAK (FNP-BC) – Family Nurse Practitioner, NPI 1225912397

SHERRY ANN MALINCZAK (FNP-BC) is a healthcare provider. based in Bruce twp, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-BC. They hold a License No. 4704327296 (MI). The NPI Number for SHERRY ANN MALINCZAK (FNP-BC) is 1225912397

Main info

Female
1 Year Of Experience
Accepts Medicare Assignment
Name
SHERRY ANN MALINCZAK (FNP-BC)
NPI
1225912397
Phone
(586) 604-8416
Address
69149 BROOKHILL DR
Enumeration Date
2 August 2025
Last Update Date
2 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7343338001
Graduation Year
2025 (1 year ago)
PAC ID
0042712069
Group Practice PAC ID
9739221912
Professional Enrollment ID
I20250908002421
Address ID
MI481351820GA31450RDXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

8,105 NURSE PRACTITIONER in MI

Provider Addresses for SHERRY ANN MALINCZAK (FNP-BC)

  • 69149 BROOKHILL DR

    BRUCE TWP, MI 480654206

    Phone: (586) 604-8416

    Type: Mailing

  • 51160 GRATIOT AVE

    CHESTERFIELD, MI 480512035

    Phone: (586) 221-1805

    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: 2025-09-08

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
I20250908002421INurse PractitionerMITBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48065)

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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: 9739221912View full group profile
NameSpecialtyState
Nurse PractitionerMI
Physician AssistantMI
Physician AssistantMI
-MI
Nurse PractitionerMI
Physician AssistantMI
-MI
Nurse PractitionerMI
General SurgeryMI
Physician AssistantMI

Reviews

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Frequently asked questions

Can I verify SHERRY ANN MALINCZAK (FNP-BC) with an NPI only?
You can start verification with NPI 1225912397 for SHERRY ANN MALINCZAK (FNP-BC), then check state licensing separately.
Does CMS list SHERRY ANN MALINCZAK (FNP-BC) as active?
Yes — SHERRY ANN MALINCZAK (FNP-BC) is active in the NPI listing used on this page.
What is SHERRY ANN MALINCZAK (FNP-BC)'s specialty?
The listing groups SHERRY ANN MALINCZAK (FNP-BC) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What area does SHERRY ANN MALINCZAK (FNP-BC) serve?
SHERRY ANN MALINCZAK (FNP-BC)'s listing highlights Bruce Twp, Michigan; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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