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

MS. Michelle Alyssa Mallory, AGACNP-BC

Individual provider Acute Care Nurse Practitioner · NPI 1811535586

MS. Michelle Alyssa Mallory, AGACNP-BC is a Nurse Practitioner in Ann Arbor, Michigan. Qualified in 2019, 7 years ago. Practices with Regents of the University of Michigan, a 3,271-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
7
Licensed in
MI
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

1500 E Medical Center Dr
Ann Arbor, MI 48109-5000
Phone: (734) 936-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1215 E Michigan Ave, Lansing, MI 48912-1811 — (517) 364-1000

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 4704297838 (MI)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 4704297838 (MI)

Record details

NPI number1811535586
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP-BC
Sole proprietorNo
NPI enumeratedDecember 12, 2019
Last updated in NPPESOctober 25, 2022
Certification dateOctober 25, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Regents Of The University Of Michigan — 3271 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Ann Arbor