Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Heather Marie Vanvallis-Maczka, AGACNP-BC

Individual provider Acute Care Nurse Practitioner · NPI 1376137711

Heather Marie Vanvallis-Maczka, AGACNP-BC is a Nurse Practitioner in Mount Clemens, Michigan. Graduated from University of Michigan Medical School in 2020, 6 years ago. Practices with McLaren Macomb, a 130-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
6
Trained at
University of Michigan Medical School
Licensed in
MI
In the registry since
2021
Specialties on file
4
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Practice location Address checks out

1000 Harrington St
Mount Clemens, MI 48043-2920
Phone: (586) 493-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 4704334264 (MI)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 4704334264 (MI)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 4704334264 (MI)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 4704334264 (MI)

Record details

NPI number1376137711
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP-BC
Sole proprietorYes
NPI enumeratedFebruary 25, 2021
Last updated in NPPESFebruary 25, 2021
Certification dateFebruary 25, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduated 2020 (6 years in practice)
Group practice McLaren Macomb — 130 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Mount Clemens