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MRS. MALLORY CATHERINE FUSCO FNP-C
NPI 1083416911
Nurse Practitioner - Family in Richardson, TX

Active since March 24, 2025PECOS Enrolled
4011 E RENNER RD STE 110, RICHARDSON, TX 75082(972) 234-3299 Get Directions Write a Review

NPPES record last updated: March 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Mallory Catherine Fusco Fnp-c NPPES

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

MRS. MALLORY CATHERINE FUSCO FNP-C (NPI 1083416911) is an individual family provider in Richardson, Texas, licensed in Texas (1191441) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1083416911
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. MALLORY CATHERINE FUSCOCredential: FNP-C
Location Address4011 E RENNER RD STE 110Richardson, TX 75082-2917
Mailing Address148 Arbor Glen DrEuless, TX 76039-3759 · (318) 614-5539 · Fax (318) 614-5539
Phone(972) 234-3299
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMarch 24, 2025
NPPES CertifiedMarch 24, 2025
✔ NPI 1083416911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · 1191441
4011 E RENNER RD STE 110, Richardson, TX 75082
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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)

Mrs. Mallory Catherine Fusco Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7719458629
PECOS Enrollment IDI20260602000823
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 75082 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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 3

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

TEODORA ANDREEA LIVENGOOD DO
Family Medicine
4011 E RENNER RD STE 110
RICHARDSON, TX 75082
Dallas County (972) 234-3299
MAKE YOU WELL PRIMARY CARE PLLC
Clinic/Center (Primary Care)
4011 E RENNER RD STE 110
RICHARDSON, TX 75082
Dallas County (832) 654-7859
EMERGENCY MEDICINE SPECIALISTS, LLP
Clinic/Center (Urgent Care)
4011 E RENNER RD STE 110
RICHARDSON, TX 75082
Dallas County (972) 234-3299

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 Fusco's NPI number?

The NPI number for Mallory Fusco is 1083416911. It was assigned to this individual provider in the NPPES registry on March 24, 2025.

Where is Mallory Fusco located?

Mallory Fusco practices at 4011 E Renner Rd Ste 110, Richardson, TX 75082. The listed phone number is (972) 234-3299.

What is Mallory Fusco's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Mallory Fusco enrolled in Medicare?

Yes. Mallory Fusco is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mallory Fusco was last updated on March 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.