Mallory Madeline Kritzer, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601013065 Issued in MI

Practice address

826 W King St
Owosso, MI 48867-2120

Phone

(989) 723-1978

Fax

(989) 729-6629

NPI assigned

Feb 21, 2025

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Memorial Hospital

  • General Practice Physician
  • Owosso, MI
  • NPI 1235160532

  Physician Assistant

  Medicare reassignment NPD (past)
• Memorial Hospital

  • Anesthesiology Physician
  • Owosso, MI
  • NPI 1659527737
  NPD

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

{
    "created_epoch": "1740096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1972309755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "826 W KING ST",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488672120",
            "telephone_number": "989-723-1978",
            "fax_number": "989-729-6629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 W KING ST",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488672120",
            "telephone_number": "989-723-1978",
            "fax_number": "989-729-6629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRITZER",
        "first_name": "MALLORY",
        "middle_name": "MADELINE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-21",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601013065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jillian Rae Koterba, RN
• Michael Bryan Kramer, DO
• Andrea Krane
• Maddison Marie Krauss
• Addison Mae Kregger
• Kroger Co of Michigan
• Karlee Krokos, NP-C
• Heather Krueger, MA, CCC-SLP
• Renee Jean Krupp, M.A., CCC-SLP
• Madison Kruszkowski

• Physician Assistant in Owosso, MI
• Providers in Owosso, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.