MALLORY JEAN LACKEY FNP
NPI 1093511982
Nurse Practitioner - Family in Fall River, MA
About Mallory Jean Lackey Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MALLORY JEAN LACKEY FNP (NPI 1093511982) is an individual family provider in Fall River, Massachusetts, licensed in Massachusetts (RN2352059) and active in the NPI registry since February 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses 2
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 Jean Lackey Fnp 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 02720 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 16
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FALL RIVER, MA 02720
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1093511982, enumerated as an "individual" on February 20, 2025.
The provider is located at 1620 PRESIDENT AVE FALL RIVER, MA 02720 and the phone number is (508) 672-2403.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.
