MALLORY ELIZABETH BOGGS A-GNP-C
NPI 1013543388
Nurse Practitioner - Primary Care in Madison, MS

Active since March 19, 2020PECOS EnrolledAccepts Medicare Assignment
159 FOUNTAINS BLVD STE B, MADISON, MS 39110(601) 859-8200 Get Directions Write a Review

NPPES record last updated: March 19, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mallory Elizabeth Boggs A-gnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MALLORY ELIZABETH BOGGS A-GNP-C (NPI 1013543388) is an individual primary care provider in Madison, Mississippi, licensed in Mississippi (903821) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1013543388
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameMALLORY ELIZABETH BOGGSCredential: A-GNP-C
Location Address159 FOUNTAINS BLVD STE BMadison, MS 39110-6344
Mailing Address115 Blackstone CirBrandon, MS 39047-8808 · (601) 720-9845
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 19, 2020
NPPES CertifiedMarch 19, 2020
NPI 1013543388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in MS · 903821
159 FOUNTAINS BLVD STE B, Madison, MS 39110

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mallory Elizabeth Boggs A-gnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3678903630
PECOS Enrollment IDI20250808000780
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39110 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
159 FOUNTAINS BLVD STE B
MADISON, MS 39110

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mallory Boggs's NPI number?

The NPI number for Mallory Boggs is 1013543388. It was assigned to this individual provider in the NPPES registry on March 19, 2020.

Where is Mallory Boggs located?

Mallory Boggs practices at 159 Fountains Blvd Ste B, Madison, MS 39110. The listed phone number is (601) 859-8200.

What is Mallory Boggs's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Mallory Boggs enrolled in Medicare?

Yes. Mallory Boggs is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mallory Boggs accept?

Health plans from Molina Healthcare list Mallory Boggs as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mallory Boggs was last updated on March 19, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.