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

Mallory Martens, PA

Individual provider Medical Physician Assistant · NPI 1629433172

Mallory Martens, PA is a Physician Assistant in Grand Rapids, Michigan. Qualified in 2015, 11 years ago. Practices with Metropolitan Hospital, a 422-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
11
Licensed in
MI
In the registry since
2015
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

100 Michigan St NE
Grand Rapids, MI 49503
Phone: (616) 391-3431
Fax: (616) 391-2783
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 5601007638 (MI)

Record details

NPI number1629433172
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedDecember 29, 2015
Last updated in NPPESSeptember 1, 2021
Certification dateSeptember 1, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Metropolitan Hospital — 422 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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