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Mallory Stolicker , PA-C

Physician Assistant β€’ Midland, MI

Active NPI 1659884336 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

555 W Wackerly St
Midland, MI 486404722

Call 2699080565 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

555 W Wackerly St

Midland, MI 486404722

Telephone 2699080565
Organization at the Same NPPES Address or Phone
David T. Bortel, M.d., P.c. Facility NPI 1669420964

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 2 distinct group names: Mymichigan Medical Center Midland; Mymichigan Medical Group. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2024

Open Payments general payments, program year 2025

All general payments: $274.50 across 4 records.

By nature of payment

  • Food and Beverage: $274.50 across 4 records.

Reporting-company totals (3 largest of 4)

  • SI-BONE, INC.: $100.56 across 1 record.
  • ConvaTec Inc.: $64.50 across 1 record.
  • Sanara MedTech Inc.: $63.38 across 1 record.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

2 years (graduated 2024)

CMS Doctors and Clinicians data list 2024 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2017

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Mallory Stolicker has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Mallory Stolicker as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Midland and Michigan

79 active clinicians are listed under Physician Assistant with a practice address in Midland, MI (6,989 in Michigan).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Midland

27.8% of these 79 clinicians have the CMS telehealth indicator.

72.2% of these 79 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments Β· Program Year 2025

Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $274.50.

Manufacturer Payment Nature Product Type Amount ($)
SI-BONE, INC.
Food and Beverage
Cash or cash equivalent
β€” General $100.56
ConvaTec Inc.
Food and Beverage
In-kind items and services
AQUACEL AG+ EXTRA General $64.50
Sanara MedTech Inc.
Food and Beverage
Cash or cash equivalent
CellerateRX General $63.38
Smith+Nephew, Inc.
Food and Beverage
In-kind items and services
PICO General $46.06

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-04-15
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES MI 5601012852

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Michigan Department of Licensing and Regulatory Affairs.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20250414003114

Enrollment State Jurisdiction

MI

PECOS Control ID

3971027764

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Mymichigan Medical Center Midland

555 W Wackerly St, Midland, MI 486404722

Phone: 9898393060

Mymichigan Medical Group

555 W Wackerly St, Midland, MI 486404710

Phone: 9896310512

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

12 listed
Dr. Blake Bergeon , MD

Physical Medicine & Rehabilitation

NPI 1619953106

Doctor of Medicine (M.D.)

Dr. Spencer Bertram , MD

Pain Medicine - Interventional Pain Medicine

NPI 1205876513

Doctor of Medicine (M.D.)

Dr. James Frye , MD

Family Medicine

NPI 1942279286

Doctor of Medicine (M.D.)

Dr. James Inman , MD

Family Medicine

NPI 1942397948

Doctor of Medicine (M.D.)

NPI 1487623740

Doctor of Medicine (M.D.)

Dr. Ben Mayne , MD

Orthopaedic Surgery

NPI 1023041951

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location October 16, 2024

Registered at 555 W WACKERLY ST, MIDLAND, MI 486404722 (Tel: 2699080565)

πŸ“
Updated Business Mailing Address October 16, 2024

Registered at 1582 COOLIDGE AVE, SAGINAW, MI 486384710 (Tel: 2699080565)

πŸ‘€
Provider Name / Credentials Updated October 16, 2024

Recorded as MALLORY STOLICKER, PA-C

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 16, 2024

Physician Assistant (license number reported to NPPES: MI 5601012852)

βœ…
NPI Profile Active November 16, 2017

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) November 16, 2017

Registered at 3636 COLEMAN RD APT 133, EAST LANSING, MI 488236141 (Tel: 2699080565)

πŸ“
Business Mailing Address (Initial Record) November 16, 2017

Registered at 223 KALAMAZOO ST RM 105, EAST LANSING, MI 488245400

πŸ‘€
Provider Name / Credentials (Initial Record) November 16, 2017

Recorded as MALLORY STOLICKER

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 16, 2017

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration November 16, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1659884336
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 16, 2017
Last Update: April 15, 2025
Sole Proprietor: No

Other Physician Assistants in Midland

All Physician Assistants in Midland

Mailing Address

1582 Coolidge Ave

Saginaw, MI 486384710

Phone: 2699080565

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.