MALLORY ROSE PALOMBIT (NP) – Acute Care Nurse Practitioner, NPI 1780155762
Acute Care Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,106 NURSE PRACTITIONER in MI
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Provider Addresses for MALLORY ROSE PALOMBIT (NP)
215, East Ann Arbor Trail, Plymouth, Wayne County, Michigan, 48170, United States
PLYMOUTH, MI 481701845
Phone: (248) 880-4880
Type: Mailing
Levan Road, Livonia, Wayne County, Michigan, 48152, United States
LIVONIA, MI 481545085
Phone: (248) 880-4880
Type: Location
16001 W 9 Mile Rd
Southfield, MI 480754818
Phone: (248) 849-5806
Fax: (248) 849-5489
Type: Location
14555 LeVan Rd Ste 311
Livonia, MI 481545085
Phone: (248) 880-4880
Type: Location
11166 CHERRYLAWN DR
BRIGHTON, MI 481148104
Phone: (248) 849-5806
Fax: (248) 849-5489
Type: Mailing
47601 GRAND RIVER AVE
NOVI, MI 483741233
Phone: (248) 465-4311
Fax: (248) 465-4651
Type: Location
16001 W 9 MILE RD
SOUTHFIELD, MI 480754818
Phone: (248) 849-5806
Fax: (248) 849-5489
Type: Mailing
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: 2019-01-25
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 |
|---|---|---|---|---|
| I20190125000106 | 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 48170)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MI | |
| Nurse Practitioner | MI | |
| - | MI | |
| Nurse Practitioner | ME | |
| Internal Medicine | MI | |
| E N D O C R I N O L O G Y | MI | |
| - | MI | |
| - | MI | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal Medicine | MI | |
| Internal Medicine | MI |
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