MRS. MALLORY JANE SHERIDAN (PA-C) – Physician Assistant, NPI 1245800937
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,069 PHYSICIAN ASSISTANT in MI
Provider Addresses for MRS. MALLORY JANE SHERIDAN (PA-C)
416 S Creyts Rd
Lansing, MI 489178290
Phone: (517) 886-0333
Type: Location
3021 BIRCH ROW DR APT 14
EAST LANSING, MI 488232295
Phone: (231) 675-7250
Type: Mailing
16826 NEWBURGH RD
LIVONIA, MI 481541600
Phone: (734) 464-8400
Fax: (734) 464-9515
Type: Location
8877 MERCER RD
CHARLEVOIX, MI 497202300
Phone: (231) 675-7250
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 162 Open Payments records for all available years, with a total value of $3,502.
Total Amount is formed as General ($3,502) + Research ($0) + Ownership ($0) = $3,502.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: GENZYME CORPORATION ($443).
Total Amount
$3,502
General + Research + Ownership
Payments
162
Total payment records
General Amount
$3,502
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GENZYME CORPORATION | $443 |
| Janssen Biotech, Inc. | $427 |
| Lilly USA, LLC | $257 |
| Amgen Inc. | $203 |
| Arcutis Biotherapeutics, Inc. | $157 |
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: 2021-09-14
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210914001596 | I | Physician Assistant | MI | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 953 | 144 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 285 | 204 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 236 | 194 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 226 | 175 | $0 |
| 11103 | Biopsy of related skin growth, each additional growth | 152 | 87 | $0 |
Insurance plans in this area (ZIP 48917)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MI | |
| Physician Assistant | MI | |
| Nurse Practitioner | MI | |
| - | MI | |
| Physician Assistant | MI | |
| Physician Assistant | MI | |
| Physician Assistant | MI | |
| Dermatology, Micrographic Dermatologic Surgery (Mds) | MI | |
| Emergency Medicine | MI | |
| D E R M A T O L O G Y | MI |
Reviews
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