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

Mr. Mark L Passow, FNP-BC

Individual provider Nurse Practitioner · NPI 1871908897

Mr. Mark L Passow, FNP-BC is a Nurse Practitioner in Livonia, Michigan. Qualified in 2010, 16 years ago. Practices with Munson Healthcare Grayling, a 64-clinician group, works from 15 locations, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
16
Licensed in
MI
In the registry since
2014
Specialties on file
3
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

20331 Farmington Rd
Livonia, MI 48152-1411
Phone: (248) 474-2288
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (14)

  • 829 N Center Ave Ste 210, Gaylord, MI 49735-1599 — (989) 731-7860
  • 829 N Center Ave Ste 140, Gaylord, MI 49735-1598 — (989) 731-7870
  • 1996 Walden Dr, Gaylord, MI 49735-8241 — (989) 731-4111
  • 1200 W North Down River Rd Ste C, Grayling, MI 49738-8024 — (989) 344-5910
  • 1100 E Michigan Ave, Grayling, MI 49738-1312 — (989) 348-5461
  • 1250 E Michigan Ave, Grayling, MI 49738-7074 — (989) 348-0550
  • 1010 W North Down River Rd, Grayling, MI 49738-2060 — (989) 348-0800
  • 3040 Bourn St, Lewiston, MI 49756-8134 — (989) 786-4877
  • 1321 S Mount Tom Rd, Mio, MI 48647-9518 — (989) 275-1200
  • 1321 S Mount Tom Rd, Mio, MI 48647-9518 — (989) 344-5820
  • 2585 W Houghton Lake Dr, Prudenville, MI 48651-9624 — (989) 366-2900
  • 234 Lake St, Roscommon, MI 48653-9203 — (989) 275-1200
  • 4230 Copper Ridge Dr, Traverse City, MI 49684-7256 — (231) 935-6380
  • 1105 Sixth St, Traverse City, MI 49684-2345 — (231) 935-5000

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 4704248035 (MI)
Nurse Practitioner Taxonomy 363L00000X · Licence 4704248035 (MI)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 4704248035 (MI)

Record details

NPI number1871908897
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedJune 27, 2014
Last updated in NPPESDecember 9, 2025
Certification dateDecember 9, 2025
Mailing address20331 Farmington Rd, Livonia, MI 48152-1411

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Munson Healthcare Grayling — 64 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations8 on file with Medicare

Other providers in Livonia