MALLORY MARINO NP
NPI 1043989932
Nurse Practitioner - Acute Care in Newport Beach, CA

Q: What is Mallory Marino's NPI number?

The NPI number for Mallory Marino is 1043989932. It was assigned to this individual provider in the NPPES registry on September 13, 2021.

Q: What is Mallory Marino's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Mallory Marino was last updated on July 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 13, 2021PECOS Enrolled

1 HOAG DR, NEWPORT BEACH, CA 92663(949) 421-7019 Get Directions Write a Review

NPPES record last updated: July 26, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 26, 2023, Jul 7, 2023, Sep 16, 2021 (3 updates tracked since 2021).

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About Mallory Marino Np NPPES

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

MALLORY MARINO NP (NPI 1043989932) is an individual acute care provider in Newport Beach, California, licensed in California (95018358) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1043989932

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameMALLORY MARINOCredential: NP

Location Address1 HOAG DRNewport Beach, CA 92663-4162

Mailing Address1 Hoag DrNewport Beach, CA 92663-4162 · (949) 421-7019

Phone(949) 421-7019

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateSeptember 13, 2021

Last NPPES UpdateJuly 26, 20233 updates tracked since enumeration

NPPES CertifiedJuly 26, 2023

✔ NPI 1043989932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in CA · 95018358

1 HOAG DR, Newport Beach, CA 92663

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mallory Marino Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID749774834

PECOS Enrollment IDI20251216002627

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 92663 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

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 20

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

DR. JACK MIN KAN M.D.

Anesthesiology

1 HOAG DR, DEPT OF ANESTHESIOLOGY
NEWPORT BEACH, CA 92663

Orange County (858) 565-9666

DR. MICHAEL GRAY MD

Hospitalist