Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Mary A Mandziara, NP

Acute Care Nurse Practitioner in Grosse Pointe Woods, MI · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1669568341

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Registry record

Entity type Individual (Type 1)

Name Mary A Mandziara

Credential NP

Sex Female

Practice address 19229 Mack Ave, Suite 34, Grosse Pointe Woods, MI, 48236

Phone (313) 647-3245

Fax (313) 647-3244

Enumeration date Oct 4, 2006

Last updated in NPPES Oct 24, 2014

Taxonomy & licenses

363LA2100X Acute Care Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 4704131950 (MI) Primary

NP · Nurse Practitioner: An advanced practice registered nurse with graduate training, licensed to diagnose and treat, often with prescriptive authority. About the NP credential

Other identifiers

Identifier	Type	State	Issuer
4327582	Medicaid	MA	-
0866737	Other	MI	BCBSM PIN
4704131950	Other	MI	MICHIGAN LICENSE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

What specialty is Mary Mandziara?

Mary Mandziara is registered in NPPES with the primary taxonomy of Acute Care Nurse Practitioner. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

Other providers at this practice address

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Adonis Lorenzana Pediatric Hematology & Oncology Physician · Grosse Pointe Woods, MI NPI 1902890411 Hadi Sawaf Pediatric Hematology & Oncology Physician · Grosse Pointe Woods, MI NPI 1700870235 Charlene Sebest Medical Physician Assistant · Grosse Pointe, MI NPI 1093700981 Ayad Al-Katib Hematology & Oncology Physician · Grosse Pointe Woods, MI NPI 1013902691 Rosalie Greenwood-Korson Pediatric Oncology Registered Nurse · Grosse Pointe Woods, MI NPI 1740276559 Cheryl Wesen Surgery Physician · Grosse Pointe Woods, MI NPI 1255319729 Jeffrey Falk Surgery Physician · Grosse Pointe Woods, MI NPI 1700859055 John Boccaccio Specialist · Grosse Pointe Woods, MI NPI 1164463758

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-10-24.