Melissa Malinoski, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601007585 Issued in MI

Practice address

2080 Union Ave SE Ste a
Grand Rapids, MI 49507-3247

Phone

(616) 350-7781

NPI assigned

Oct 22, 2015

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Samaritas Lutheran Social Services of MichiganGroup PAC ID 6305992421, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Samaritas Lutheran Social Services of Michigan

  • Addiction (Substance Use Disorder) Counselor
  • Charlotte, MI
  • NPI 1972860005
  Medicare reassignment Care Compare group

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1445472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1366814931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2080 UNION AVE SE STE A",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495073247",
            "telephone_number": "616-350-7781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 UNION AVE SE STE A",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495073247",
            "telephone_number": "616-350-7781"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2450 Van Ommen Dr Ste C",
            "address_purpose": "LOCATION",
            "city": "Holland",
            "state": "MI",
            "postal_code": "494248085",
            "country_code": "US",
            "telephone_number": "616-350-7781",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "128 S Cochran Ave",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "MI",
            "postal_code": "488131510",
            "country_code": "US",
            "telephone_number": "517-325-9090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALINOSKI",
        "first_name": "MELISSA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-22",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601007585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia Male
• Thomas A Malec, M.D., P.C.
• Elizabeth J Maleski
• Malibu Group LLC
• Carrie Malin, PT
• Kari Mae Malinowski, PA-C
• Chaitanya Malla, MD
• James Malleis, MD
• Robert Mallen, MD
• Logan Mallery

• Physician Assistant in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.