Whitney Nicole Malzahn, NURSE PRACTITIONER
Individual provider Active NPI Nurse Practitioner · Lansing, MI
NPI 1154093425 · NPPES record last updated Oct 4, 2021
Key facts
- NPI
- 1154093425
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 4704293827 (MI)
- Practice address
- 405 W Greenlawn Ave Ste 130
Lansing, MI 48910-2898 - Phone
- (517) 574-5645
- NPI assigned
- Oct 4, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Memorial Hospital
Practice addresses (Care Compare)
1002 E M 21
100 Memorial Healthcare Urgent Care Owosso
Owosso, MI 48867-9007
Phone (989) 720-5400
218 W Main St
Flushing, MI 48433-2032
Phone (989) 723-5211
826 W King St
Owosso, MI 48867-2120
9099 E Lansing Rd a
MH Family Medicine Durand
Durand, MI 48429-1083
Phone (989) 288-2651
9099 E Lansing Rd B
MH Urgent Care Durand
Durand, MI 48429-1083
Phone (989) 288-0400
9099 E Lansing Rd E
Memorial Healthcare Rheumatology
Durand, MI 48429-1083
Phone (989) 720-2273
Hospital & facility affiliations
- Memorial Healthcare
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230705001408 | MI | Practitioner - Nurse Practitioner | 4385003672 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Hospital | Nurse Practitioner | Current | Accepting new patients |
| Memorial Hospital | Current |
Accepting new patients | |
| Memorial Hospital | Current |
Accepting new patients | |
| Memorial Hospital | Nurse Practitioner | Past | Accepting new patients |
| Memorial Hospital | Nurse Practitioner | Past | Accepting new patients |
| Memorial Hospital | Nurse Practitioner | Past | Accepting new patients |
Locations
9000 Peet Rd
Chesaning, MI 48616
Phone (989) 720-2273
9099 E Lansing Rd
Ste B
Durand, MI 48429
Phone (989) 288-0400
218 W Main St
Ste 100
Flushing, MI 48433
Phone (989) 720-7562
826 W King St
Owosso, MI 48867
Phone (989) 720-2273
1002 E M 21
Ste 100
Owosso, MI 48867
Phone (989) 720-5400
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 4704293827 | MI | |
| Nurse Practitioner | 363L00000X | 4704293827 | MI | Yes |
Addresses
Primary practice location
405 W Greenlawn Ave Ste 130
Lansing, MI 48910-2898
Mailing address
12277 Vernon Rd
Bancroft, MI 48414-9765
Phone (989) 640-4905
Other providers in Lansing, MI
- Nabeel Mallick
- Mallori Mangus-Hayden
- Katelyn E Mallory
- Marc P Mallory
- Raj Malosh
- Irada Mamukadze
- Neil C Manczak
- Karlie Ann Mandziara
- Manestream Services LLC
- Rhonda S Maney
All providers in Lansing, MI · Nurse Practitioner in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 4, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.