Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mallorie Stacie Bleka, FNP, DNP

Individual provider Registered Nurse · NPI 1801388277

Mallorie Stacie Bleka, FNP, DNP is a Nurse Practitioner in Grand Rapids, Michigan. Qualified in 2020, 6 years ago. Practices with Spectrum Health Primary Care Partners, a 2,303-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
6
Licensed in
MI
In the registry since
2018
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.

See every abbreviation used in this directory →

Practice location Address checks out

221 Michigan St NE Ste 300
Grand Rapids, MI 49503-2537
Phone: (616) 459-7258
Fax: (616) 459-5215
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 4704335211 (MI)
Registered Nurse Taxonomy 163W00000X · Licence 4704335211 (MI)

Record details

NPI number1801388277
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP , DNP
Sole proprietorNo
NPI enumeratedJune 1, 2018
Last updated in NPPESMarch 9, 2022
Certification dateMarch 9, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Spectrum Health Primary Care Partners — 2303 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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