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

MS. Jennifer Nicole Malicke, DO

Individual provider Emergency Medicine Physician · NPI 1891082905

MS. Jennifer Nicole Malicke, DO is an Emergency Medicine in Royal Oak, Michigan. Graduated from Kansas City College of Medicine and Surgery in 2011, 15 years ago. Practices with Advanced Vein Therapies PLLC, a 9-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
15
Trained at
Kansas City College of Medicine and Surgery
Licensed in
MI
In the registry since
2011
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

727 Royal Ave
Royal Oak, MI 48073-5704
Phone: (417) 718-0144
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 5101019566 (MI)

Record details

NPI number1891082905
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedJuly 9, 2011
Last updated in NPPESNovember 29, 2014

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolKANSAS CITY COLLEGE OF MEDICINE AND SURGERY
Graduated 2011 (15 years in practice)
Group practice Advanced Vein Therapies Pllc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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