MALLORIE MCCOMB (NP) – Nurse Practitioner, NPI 1538538251
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,106 NURSE PRACTITIONER in MI
Provider Addresses for MALLORIE MCCOMB (NP)
2200 SPRINGPORT RD STE 500
JACKSON, MI 492021432
Phone: (517) 787-6001
Fax: (517) 782-2062
Type: Mailing
550 Munson Ave
Traverse City, MI 496863580
Phone: (231) 935-6520
Type: Location
1000 Pavilions Cir
Traverse City, MI 496843198
Phone: (231) 932-3000
Type: Location
1105 SIXTH ST
TRAVERSE CITY, MI 496842386
Phone:
Type: Mailing
217 S MADISON ST
TRAVERSE CITY, MI 496842321
Phone: (231) 935-6080
Fax: (231) 935-6081
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $272.
Total Amount is formed as General ($272) + Research ($0) + Ownership ($0) = $272.
Last reported payment date: 2024-10-25 • Largest payer in this snapshot: Teleflex LLC ($146).
Total Amount
$272
General + Research + Ownership
Payments
3
Total payment records
General Amount
$272
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Teleflex LLC | $146 |
| ACADIA Pharmaceuticals Inc | $79 |
| JAZZ PHARMACEUTICALS INC. | $46 |
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: 2015-10-21
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 |
|---|---|---|---|---|
| I20151021000977 | I | Nurse Practitioner | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 49202)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MI | |
| Clinical Social Worker | MI | |
| Nurse Practitioner | MI | |
| Internal Medicine | MI | |
| Nurse Practitioner | MI | |
| Nurse Practitioner | MI | |
| Nurse Practitioner | MI |
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