MALLORY ANN MYSLENSKI (AGNP-C) – Nurse Practitioner, NPI 1366937716

MALLORY ANN MYSLENSKI (AGNP-C) is a healthcare provider. based in Wyoming, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials AGNP-C. They hold a License No. AG06180160 (MI). The NPI Number for MALLORY ANN MYSLENSKI (AGNP-C) is 1366937716

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
MALLORY ANN MYSLENSKI (AGNP-C)
NPI
1366937716
Phone
(616) 252-3243
Address
5900 BYRON CENTER AVE SW
Enumeration Date
28 June 2018
Last Update Date
5 February 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6162525950
Graduation Year
2018 (8 years ago)
PAC ID
5799033486
Group Practice PAC ID
5597651836
Professional Enrollment ID
I20180813002909
Address ID
MI495199698WY2122XSWXX404
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:7State licenses:2Digital endpointsOther names

8,106 NURSE PRACTITIONER in MI

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Provider Addresses for MALLORY ANN MYSLENSKI (AGNP-C)

  • Metro Health Hospital, 5900, Byron Center Avenue Southwest, Wyoming, Kent County, Michigan, 49519, United States

    MEDICAL ADMINISTRATION

    WYOMING, MI 495199606

    Phone: (616) 252-3243

    Fax: (616) 252-0260

    Type: Mailing

  • Health Drive Southwest, Wyoming, Kent County, Michigan, 49518, United States

    WYOMING, MI 495199698

    Phone: (616) 252-5950

    Fax: (616) 252-5956

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 15 Open Payments records for all available years, with a total value of $2,310.

Total Amount is formed as General ($2,310) + Research ($0) + Ownership ($0) = $2,310.

Last reported payment date: 2024-08-28 • Largest payer in this snapshot: Abbott Laboratories ($1,912).

Total Amount

$2,310

General + Research + Ownership

Payments

15

Total payment records

General Amount

$2,310

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-28

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2018-08-13

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
I20180813002909INurse 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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes140116$0
99215Established patient office or other outpatient visit, 40-54 minutes2622$0
View full utilization report →

Insurance plans in this area (ZIP 49519)

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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: 5597651836View full group profile
NameSpecialtyState
Internal MedicineMI
-MI
Nurse PractitionerMI
Physician AssistantMI
Hospitalist, Internal MedicineMI
-MI
Family PracticeMI
Physician AssistantMI
-MI
Physician AssistantMI

Reviews

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Frequently asked questions

What identifier follows MALLORY ANN MYSLENSKI (AGNP-C) across health systems?
The NPI 1366937716 uniquely identifies MALLORY ANN MYSLENSKI (AGNP-C) in U.S. healthcare data.
Quick check: is MALLORY ANN MYSLENSKI (AGNP-C) active?
Public NPPES data shows MALLORY ANN MYSLENSKI (AGNP-C) with an active NPI status right now.
What type of care does MALLORY ANN MYSLENSKI (AGNP-C) provide?
MALLORY ANN MYSLENSKI (AGNP-C)'s profile centers on Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Can patients visit MALLORY ANN MYSLENSKI (AGNP-C) in Wyoming, Michigan?
For routing, start with Wyoming, Michigan for MALLORY ANN MYSLENSKI (AGNP-C), then verify phone and hours locally.
Why is information missing for MALLORY ANN MYSLENSKI (AGNP-C)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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