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Active NPI 1346902038 Individual Practitioner Female Practitioner

Mallory Ann Smith , PA-C

Physician Assistant • Holland, MI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Mallory Smith, PA-C is a certified Physician Assistant practicing in Holland, MI. With approximately 5 years of clinical experience since completing medical education in 2021, Mallory Smith delivers high-quality medical care to the local community at 588 E LAKEWOOD BLVD.

Mallory Smith is affiliated with Spectrum Health Primary Care Partners and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, insertion of needle into vein for collection of blood sample, manual urinalysis test with examination using microscope, non-automated. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

588 E Lakewood Blvd

Holland, MI 494242023

Telephone 6164945800
Associated Practice Facility / Clinic
🏢 Spectrum Health Hospitals Facility NPI 1952409815

Medicare Profile & Education

Medical School

Other

Graduation Year

2021

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Holland, MI

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
5 Yrs -8.0 yrs vs City Avg
City Avg: 13.0 Yrs
State Avg: 12.2 Yrs
Regional Practice Density
60 Specialists

Practicing in Holland, MI (7057 Statewide)

Telehealth Adoption Rate
11.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
53.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Smith (5 Years) 5 Yrs
Holland Specialty Average (13.0 Years) 13.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
34 31 $159.00 $73.50

Medical Specialties & State Licenses

CMS Verified: 2024-08-06
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MI 5601012251

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Spectrum Health Primary Care Partners

588 E Lakewood Blvd Fl, Holland, MI 494242023

Spectrum Health Primary Care Partners

4444 Kalamazoo Ave Se, Kentwood, MI 495084600

Phone: 6163915600

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

29 Associated Practitioners
Laura Gerencer , FNP-BC

Nurse Practitioner - Family

NPI 1013429323

Family Nurse Practitioner (Board Certified)

Jacob Lepard , PA-C

Physician Assistant

NPI 1023657178

Physician Assistant (Certified)

NPI 1043505399

Doctor of Medicine (M.D.)

Elise Jones , PA-C

Physician Assistant

NPI 1265978134

Physician Assistant (Certified)

Dr. Kaitlyn Craddock , PharmD

Pharmacist - Ambulatory Care

NPI 1306322458

Doctor of Pharmacy (Pharm.D.)

Rohit Kuthiala

Internal Medicine

NPI 1386205276

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location August 06, 2024

Registered at 588 E LAKEWOOD BLVD, HOLLAND, MI 494242023 (Tel: 6164945800)

📍
Updated Business Mailing Address August 06, 2024

Registered at 100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 495032560

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 07, 2024

Physician Assistant (License #5601012251 in MI)

📍
Updated Business Mailing Address January 13, 2023

Registered at 1400 S FILLMORE ST, DENVER, CO 802102504 (Tel: 6164020684)

👤
Provider Name / Credentials Updated January 13, 2023

Recorded as MALLORY SMITH, PA-C

NPI Profile Active October 10, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location October 10, 2021

Registered at 5161 E ARAPAHOE RD STE 290, CENTENNIAL, CO 801224810 (Tel: 7204880055)

📍
Updated Business Mailing Address October 10, 2021

Registered at 309 PERE MARQUETTE PL, GRAND HAVEN, MI 494171008 (Tel: 6164020684)

👤
Provider Name / Credentials Updated October 10, 2021

Recorded as MALLORY BESWICK, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 10, 2021

Family Medicine (License #PA.0007002 in CO)

🟢
Initial NPI Registration & Enumeration October 10, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1346902038
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 10, 2021
Last Update: August 06, 2024
Sole Proprietor: No

Mailing Address

100 Michigan St Ne # Mc845

Grand Rapids, MI 495032560

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.