Mark L Passow, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704248035 Issued in MI

Practice address

20331 Farmington Rd
Livonia, MI 48152-1411

Phone

(248) 474-2288

NPI assigned

Jun 27, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Electronic endpoints 1

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, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Munson Healthcare GraylingGroup PAC ID 2062736655, 64 clinicians

Nova Medica PLLCGroup PAC ID 6901938489, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Munson Healthcare Grayling Hospital Hospital, Grayling, MI, CCN 230058
• St Joe Mercy Hospital System Livonia Hospital, Livonia, MI, CCN 230002

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mpassow@direct.mhc.net

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.

• Munson Healthcare Grayling

  • Rural Health Clinic/Center
  • Roscommon, MI
  • NPI 1710383351
  Medicare reassignment Care Compare group NPD
• Nova Medica PLLC

  • Internal Medicine Physician
  • Livonia, MI
  • NPI 1417979360
  Medicare reassignment Care Compare group NPD
• Munson Healthcare Otsego Memorial Hospital

  • Rural Health Clinic/Center
  • Gaylord, MI
  • NPI 1164628426
  Medicare reassignment NPD
• Agha Internal Medicine Associates PC

  • Internal Medicine Physician
  • Livonia, MI
  • NPI 1336161280
  NPD
• Munson Healthcare Grayling

  • Rural Health Clinic/Center
  • Mio, MI
  • NPI 1093349698
  NPD
• Munson Healthcare Otsego Memorial Hospital

  • Rural Health Clinic/Center
  • Indian River, MI
  • NPI 1639420557
  NPD
• Munson Healthcare Otsego Memorial Hospital

  • Plastic Surgery Physician
  • Petoskey, MI
  • NPI 1770374530
  NPD
• Munson Healthcare Grayling

  • Rural Health Clinic/Center
  • Prudenville, MI
  • NPI 1144626052
  NPD (past)
• Munson Healthcare Grayling

  • Family Medicine Physician
  • Roscommon, MI
  • NPI 1598131617
  NPD (past)
• Munson Healthcare Otsego Memorial Hospital

  • General Practice Physician
  • Gaylord, MI
  • NPI 1821064643
  NPD (past)
• Munson Medical Center

  • Family Medicine Physician
  • Traverse City, MI
  • NPI 1881623031
  NPD (past)

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

• Munson Healthcare Grayling

  • Rural Acute Care Hospital
  • Grayling, MI
  • NPI 1083010953
  Care Compare affiliation
• St Mary Mercy Hospital

  • General Acute Care Hospital
  • Livonia, MI
  • NPI 1790706901
  Care Compare affiliation

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

{
    "created_epoch": "1403827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1871908897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20331 FARMINGTON RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481521411",
            "telephone_number": "242-474-2288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20331 FARMINGTON RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481521411",
            "telephone_number": "248-474-2288"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1105 Sixth St",
            "address_purpose": "LOCATION",
            "city": "Traverse City",
            "state": "MI",
            "postal_code": "496842345",
            "country_code": "US",
            "telephone_number": "231-935-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4230 Copper Ridge Dr",
            "address_purpose": "LOCATION",
            "city": "Traverse City",
            "state": "MI",
            "postal_code": "496847256",
            "country_code": "US",
            "telephone_number": "231-935-6380",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "234 Lake St",
            "address_purpose": "LOCATION",
            "city": "Roscommon",
            "state": "MI",
            "postal_code": "486539203",
            "country_code": "US",
            "telephone_number": "989-275-1200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2585 W Houghton Lake Dr",
            "address_purpose": "LOCATION",
            "city": "Prudenville",
            "state": "MI",
            "postal_code": "486519624",
            "country_code": "US",
            "telephone_number": "989-366-2900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1321 S Mount Tom Rd",
            "address_purpose": "LOCATION",
            "city": "Mio",
            "state": "MI",
            "postal_code": "486479518",
            "country_code": "US",
            "telephone_number": "989-344-5820",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 W North Down River Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Grayling",
            "state": "MI",
            "postal_code": "497388024",
            "country_code": "US",
            "telephone_number": "989-344-5910",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 E Michigan Ave",
            "address_purpose": "LOCATION",
            "city": "Grayling",
            "state": "MI",
            "postal_code": "497381312",
            "country_code": "US",
            "telephone_number": "989-348-5461",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1010 W North Down River Rd",
            "address_purpose": "LOCATION",
            "city": "Grayling",
            "state": "MI",
            "postal_code": "497382060",
            "country_code": "US",
            "telephone_number": "989-348-0800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1250 E Michigan Ave",
            "address_purpose": "LOCATION",
            "city": "Grayling",
            "state": "MI",
            "postal_code": "497387074",
            "country_code": "US",
            "telephone_number": "989-348-0550",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1321 S Mount Tom Rd",
            "address_purpose": "LOCATION",
            "city": "Mio",
            "state": "MI",
            "postal_code": "486479518",
            "country_code": "US",
            "telephone_number": "989-275-1200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "829 N Center Ave Ste 140",
            "address_purpose": "LOCATION",
            "city": "Gaylord",
            "state": "MI",
            "postal_code": "497351598",
            "country_code": "US",
            "telephone_number": "989-731-7870",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "829 N Center Ave Ste 210",
            "address_purpose": "LOCATION",
            "city": "Gaylord",
            "state": "MI",
            "postal_code": "497351599",
            "country_code": "US",
            "telephone_number": "989-731-7860",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3040 Bourn St",
            "address_purpose": "LOCATION",
            "city": "Lewiston",
            "state": "MI",
            "postal_code": "497568134",
            "country_code": "US",
            "telephone_number": "989-786-4877",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1996 Walden Dr",
            "address_purpose": "LOCATION",
            "city": "Gaylord",
            "state": "MI",
            "postal_code": "497358241",
            "country_code": "US",
            "telephone_number": "989-731-4111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PASSOW",
        "first_name": "MARK",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-27",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704248035",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704248035",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704248035",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mpassow@direct.mhc.net",
            "affiliation": "N",
            "address_1": "1321 S Mount Tom Rd",
            "city": "Mio",
            "state": "MI",
            "country_code": "US",
            "postal_code": "486479518",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mariekie Parzuchowski, LMSW
• Victoria Lynne Paschke, RN
• Joshua-Martin Pascua
• Jason K Pashak
• Justin C Pashak, PBMT
• Jessica Marie Pate
• Arif Patel
• Ashvin S Patel
• Bhaveshkumar J Patel, RPT
• Bipinchandra Bhulabhai Patel, D.O.

• Family Nurse Practitioner in Livonia, MI
• Providers in Livonia, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2025; 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.