Individual provider Active NPI

Renee Michelle Malinski, DC

  • Chiropractor
  • Rockford, MI
National Provider Identifier
1790339430
Registry record updated May 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301010833 Issued in MI
Practice address
515 E Division St Ste 125
Rockford, MI 49341-1805
Phone
(616) 863-1020
NPI assigned
Jul 31, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301010833 MI Primary

Addresses

Primary practice location

515 E Division St Ste 125
Rockford, MI 49341-1805

Mailing address

13205 Olin Woods Dr
Sparta, MI 49345-8427
Phone (616) 450-6972

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220712000392 MI Practitioner - Chiropractic 0941680664 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Steven Mikulak DC PLCGroup PAC ID 9638358237, 2 clinicians

Practice addresses (Care Compare)

65 S Main St
Suite 105
Rockford, MI 49341-1287
Phone (616) 866-0150

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Steven Mikulak DC PLC Chiropractor CurrentSince Jan 29, 2024 Accepting new patients

Locations

65 S Main St
Ste 105
Rockford, MI 49341
Phone (616) 866-0150

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1564531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653955200000",
    "number": "1790339430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13205 OLIN WOODS DR",
            "city": "SPARTA",
            "state": "MI",
            "postal_code": "493458427",
            "telephone_number": "616-450-6972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 E DIVISION ST STE 125",
            "city": "ROCKFORD",
            "state": "MI",
            "postal_code": "493411805",
            "telephone_number": "616-863-1020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALINSKI",
        "first_name": "RENEE",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-31",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.