MALLORY DEEL (FNP-BC) – Family Nurse Practitioner, NPI 1790382463

MALLORY DEEL (FNP-BC) is a healthcare provider. based in Milford, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-BC. They hold a License No. 4704325285 (MI). The NPI Number for MALLORY DEEL (FNP-BC) is 1790382463

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
MALLORY DEEL (FNP-BC)
NPI
1790382463
Phone
(248) 895-2281
Address
415 E DAWSON RD
Enumeration Date
6 October 2020
Last Update Date
24 March 2021

Doctor Profile

Medical School Name
OAKLAND UNIV, WILLIAM BEAUMONT SCHOOL OF MEDICINE
Secondary Phone
2485635735
Graduation Year
2020 (6 years ago)
PAC ID
3870981574
Group Practice PAC ID
9032532528
Professional Enrollment ID
I20211029001164
Address ID
MI483831864WH3050XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

8,106 NURSE PRACTITIONER in MI

Provider Addresses for MALLORY DEEL (FNP-BC)

  • 415 E DAWSON RD

    MILFORD, MI 483813215

    Phone: (248) 895-2281

    Type: Mailing

  • 147 N MILFORD RD

    HIGHLAND, MI 483574500

    Phone: (248) 887-3900

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $485.

Total Amount is formed as General ($485) + Research ($0) + Ownership ($0) = $485.

Last reported payment date: 2024-08-05 • Largest payer in this snapshot: ABBVIE INC. ($333).

Total Amount

$485

General + Research + Ownership

Payments

5

Total payment records

General Amount

$485

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-05

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2021-10-29

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
I20211029001164INurse 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 48381)

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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: 9032532528View full group profile
NameSpecialtyState
Nurse PractitionerMI
Nurse PractitionerMI
Nurse PractitionerMI

Reviews

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Frequently asked questions

What unique ID ties claims to MALLORY DEEL (FNP-BC)?
NPI 1790382463 is assigned to MALLORY DEEL (FNP-BC) under the national enumeration system.
Is MALLORY DEEL (FNP-BC) active in the national directory?
MALLORY DEEL (FNP-BC)'s public NPI profile is in an active state.
What does MALLORY DEEL (FNP-BC) treat or focus on?
Patients typically see MALLORY DEEL (FNP-BC) under the specialty Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does MALLORY DEEL (FNP-BC) practice in Michigan?
You will see Milford, Michigan on file for MALLORY DEEL (FNP-BC) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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