Emily Lauren Malvar, AGNP, DNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

4704318621 Issued in MI

Practice address

270 Hoover Blvd
Holland, MI 49423-3719

Phone

(616) 396-5444

Fax

(855) 863-9540

NPI assigned

Dec 2, 2020

Last updated

Apr 19, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Emily Kraus Former name

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

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Age Management of West Michigan PCGroup PAC ID 2466686290, 23 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy Health Saint Mary's Hospital, Grand Rapids, MI, CCN 230059

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: emalvar181319@epic00.corewelldirect.org

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

• Age Management of West Michigan PC

  • Internal Medicine Physician
  • Grand Rapids, MI
  • NPI 1558700625
  Medicare reassignment Care Compare group NPD
• Hospice of Holland, Inc

  dba Hospice of Holland

  • Community Based Hospice Care Agency
  • Holland, MI
  • NPI 1194792259
  Medicare reassignment NPD
• Hospice of Holland, Inc.

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Holland, MI
  • NPI 1003243908
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Saint Mary's Health Services

  dba Mercy Health Saint Mary's

  • General Acute Care Hospital
  • Grand Rapids, MI
  • NPI 1639111057
  Care Compare affiliation

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

{
    "created_epoch": "1606867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681862400000",
    "number": "1629673280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 HOOVER BLVD",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494233719",
            "telephone_number": "616-396-5444",
            "fax_number": "855-863-9540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 HOOVER BLVD",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494233719",
            "telephone_number": "616-396-5444",
            "fax_number": "855-863-9540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALVAR",
        "first_name": "EMILY",
        "middle_name": "LAUREN",
        "credential": "AGNP, DNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-02",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704318621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "KRAUS",
            "credential": "AGNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jordyn Olivia Maka
• Jenna Maki, AT, ATC
• Maletta Chiropractic PLLC (ProActive Chiropractic Group)
• Phillip Maletta, DC
• Richard Albert Malmsten, PA
• Arben S Mandija, PT
• Erica L Mandrick, AUD
• Madeline Dejonge Manier, DACM, LAC, DIPL. OM
• Alicia Katherine Mannes, LLPC
• Alexis Manning

• Nurse Practitioner in Holland, MI
• Providers in Holland, MI by specialty
• Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2023; 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.