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

Mallory Rose Baker, PA-C

Individual provider Physician Assistant · NPI 1588530653

Mallory Rose Baker, PA-C is a Physician Assistant in Clarkston, Michigan. Qualified in 2021, 5 years ago. Practices with McLaren Community Based Primary Care Group, a 56-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
5
Licensed in
MI
In the registry since
2025
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

5701 Bow Pointe Dr Ste 100
Clarkston, MI 48346-3199
Phone: (248) 625-2621
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601013305 (MI)

Record details

NPI number1588530653
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 15, 2025
Last updated in NPPESOctober 22, 2025
Certification dateOctober 22, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice McLaren Community Based Primary Care Group — 56 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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